Individual
MACKENZIE BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 695-1240
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 725-5115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10361M
AR
1041C0700X
Clinical Social Worker
Primary
10361
AR
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
01/18/2019
Last updated
06/19/2023
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