Individual
MACKENZIE BIRDSONG
Active
Individual
MACKENZIE BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10361M
AR
1041C0700X
Clinical Social Worker
Primary
10361
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/18/2019
Last updated
06/19/2023
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