Individual
MS. BETHANY JO MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 COBB RD, SEARSPORT, ME 04974
(207) 356-8506
Mailing address
11 COBB RD, SEARSPORT, ME 04974-3545
(207) 356-8506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6694
ME
Other
Enumeration date
12/20/2006
Last updated
02/26/2019
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