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Individual

MR. MITCHELL ALEXANDER SKIDMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
3649 SW BURLINGAME RD STE 100, TOPEKA, KS 66611-2155
(785) 205-6588
(785) 266-4533
Mailing address
3649 SW BURLINGAME RD STE 100, TOPEKA, KS 66611-2155
(785) 205-6588
(785) 266-4533

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
11421
KS
1041C0700X
Clinical Social Worker
Primary
06100
KS

Other

Enumeration date
11/03/2021
Last updated
07/14/2023
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