Individual
LORRIE MAE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
315 LILY RD, DEDHAM, ME 04429-4825
(207) 356-4036
Mailing address
315 LILY RD, DEDHAM, ME 04429-4825
(207) 356-4036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC16869
ME
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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