Doctor Name: | MARY B MITCHELL |
NPI Number: | 1982787446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWC |
License Number: | 04634 |
Business Practice Address: | 5301 76th Ave Landover Hills, MD - 207841703 |
Business Phone Number: | 3014592121 |
Business Fax Number: | 3014590675 |
Mailing Address: | 5301 76th Ave, LANDOVER HILLS |
State: | MD |
Postal Code: | 207841703 |
Phone Number: | 3014592121 |
Fax Number: | 3014590675 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 04634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |