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Individual
CAROL RENTZ MITCHELL
Active
Individual
CAROL RENTZ MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1761
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1761
SC LIC #
SC
Enumeration date
06/02/2006
Last updated
10/11/2007
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