Individual
CANDACE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 MEADOW DR, RAYNHAM, MA 02767-5150
(774) 259-0930
Mailing address
76 MEADOW DR, RAYNHAM, MA 02767-5150
(774) 259-0930
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223360
MA
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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