Individual
MS. JERRIE S MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1126 LOHO ST, KAILUA, HI 96734-3669
(808) 391-6367
Mailing address
1126 LOHO ST, KAILUA, HI 96734-3669
(808) 391-6367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3509
HI
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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