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Individual
MISS MELODY MITCHELL
Active
Individual
MISS MELODY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008741
NC
1041C0700X
Clinical Social Worker
SW9099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C008741
LICENSE
NC
Enumeration date
12/07/2010
Last updated
03/17/2015
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