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Individual

MRS. CASSANDRA DIANNE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
17826 NEW HAMPSHIRE AVE, ASHTON, MD 20861-9781
(800) 491-5369
(301) 774-3678
Mailing address
99 TRUCK HOUSE RD, SEVERNA PARK, MD 21146-2738

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP4554
MD

Other

Enumeration date
09/21/2012
Last updated
09/21/2012
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