Individual
MISS CARVINA VADOLL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, M.S
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
151 BROADWAY ST APT I1, CLINTON, MS 39056-4813
(662) 639-0067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
MS
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
12/28/2022
Last updated
01/23/2023
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