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Individual
MR. MITCHELL ALEXANDER SKIDMORE
Active
Individual
MR. MITCHELL ALEXANDER SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11421
KS
1041C0700X
Clinical Social Worker
Primary
06100
KS
Other
Enumeration date
11/03/2021
Last updated
07/14/2023
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