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Individual
MELISA NOEL MITCHELL
Active
Individual
MELISA NOEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136745
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
SW136745
PA
261QS1000X
Student Health Clinic/Center
SW136745
PA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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