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Organization
THE PHOCAL GROUP
Active
Organization
THE PHOCAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISHA JEANETTE MITCHELL LCSW-C (CLINICAL DIRECTOR)
(860) 830-7598
Entity
Organization
Contact information
Practice address
14503 DRIFTWOOD RD, BOWIE, MD 20721-3062
(860) 830-7598
Mailing address
14503 DRIFTWOOD RD, BOWIE, MD 20721-3062
(860) 830-7598
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/21/2020
Last updated
11/18/2022
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