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Individual
MITRA SELL
Active
Individual
MITRA SELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LEP
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
LEP2889
CA
1041C0700X
Clinical Social Worker
Primary
LCS20902
CA
Other
Enumeration date
03/19/2019
Last updated
08/07/2025
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