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Individual
THAIS LYNN MITCHELL
Active
Individual
THAIS LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
097428
NY
104100000X
Social Worker
Primary
097428
NY
1041C0700X
Clinical Social Worker
097428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
05
—
01420800
—
NY
Enumeration date
01/31/2018
Last updated
12/30/2021
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