Individual
DEBORAH ALICE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5369 PETERS CREEK RD NW, ROANOKE, VA 24019-3849
(540) 344-7048
Mailing address
5369 PETERS CREEK RD NW, ROANOKE, VA 24019-3849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
VA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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