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Individual
KELVIN L MITCHELL
Active
Individual
KELVIN L MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15294
MD
1041C0700X
Clinical Social Worker
LC50078802
DC
251S00000X
Community/Behavioral Health Agency
LC50078802
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024330200
—
MD
Enumeration date
08/05/2009
Last updated
04/19/2010
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