Individual
JACQUELYN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2252 MAHALO ST, HONOLULU, HI 96817-1606
(508) 414-6126
Mailing address
2252 MAHALO ST, HONOLULU, HI 96817-1606
(508) 414-6126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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