Individual
TASHA JANE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
254 MAIN ST, CADIZ, KY 42211-9153
(270) 522-0627
(270) 522-6732
Mailing address
PO BOX 312, CADIZ, KY 42211-0312
(270) 522-0627
(270) 522-6732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255581
KY
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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