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Individual

MS. FADRA ANDREWS MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LAC

Contact information

Practice address
9250 GLENWOOD ST, OVERLAND PARK, KS 66212-1365
(913) 952-6696
(913) 602-8474
Mailing address
9250 GLENWOOD ST, OVERLAND PARK, KS 66212-1365
(913) 952-6696
(913) 602-8474

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
658
KS
104100000X
Social Worker
Primary
7638
KS

Other

Enumeration date
11/22/2011
Last updated
12/11/2012
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