Individual
MR. NATHANIEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
160 OFFICE PARK PLZ, JACKSON, MS 39206-4108
(601) 218-3617
Mailing address
160 OFFICE PARK PLZ, JACKSON, MS 39206-4108
(601) 218-3617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6211
MS
Other
Enumeration date
05/12/2008
Last updated
07/29/2014
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