Individual
MS. AUDREY A MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3350 W AMERICANA TER STE 210B, BOISE, ID 83706-2521
(208) 402-6325
Mailing address
4863 S GREENACRES WAY, BOISE, ID 83709-5276
(208) 713-5454
(208) 706-7059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34098
ID
Other
Enumeration date
10/24/2014
Last updated
06/11/2021
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