Individual
JERRY MITCHELL REGISTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2935 N ASHLEY ST BLDG F, VALDOSTA, GA 31602-1777
(229) 333-2273
(229) 506-5403
Mailing address
3338 COUNTRY CLUB RD # 270, VALDOSTA, GA 31605-1044
(229) 333-2273
(229) 504-5403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008106
GA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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