Individual
AMY BISHOP GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8844 COOK RD, BAILEY, MS 39320-9520
(601) 527-8855
Mailing address
8844 COOK RD, BAILEY, MS 39320-9520
(601) 527-8855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0171
MS
Other
Enumeration date
08/19/2006
Last updated
01/16/2023
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