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Individual
MS. SUSAN A. MITCHELL
Active
Individual
MS. SUSAN A. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2662563501
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
2662563501
UT
101YM0800X
Mental Health Counselor
2662563501
UT
1041C0700X
Clinical Social Worker
Primary
2662563501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002200233
RAILROAD MEDICARE
UT
01
—
107001386101
INTERMTN. HEALTH CARE
UT
01
—
262038
DESERET MUTUAL
UT
01
—
942938348MI2
EDUCATORS MUTUAL
UT
01
—
94293834B
CHAMPUS
UT
Enumeration date
01/03/2006
Last updated
10/28/2016
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