Individual
MR. BRIAN ANTHONY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
204 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7851
(803) 996-1500
Mailing address
204 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7851
(803) 996-1500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007413
GA
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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