Individual
MS. FELICIA MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
483 W. SEED FARM RD., SACATON, AZ 85247
(602) 528-1340
(602) 528-1296
Mailing address
P.O. BOX 115, SACATON, AZ 85247-0115
(602) 528-1340
(602) 528-1296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
50420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
06/13/2007
Last updated
07/08/2007
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