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Individual

MR. BERNARD EUGENE MITCHELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSWA

Contact information

Practice address
3925 N DUKE ST STE 123, DURHAM, NC 27704-1780
(919) 680-8833
Mailing address
3635 WEAVER RD, WILSON, NC 27893-7968

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
P010218
NC
1041C0700X
Clinical Social Worker
Primary
P020448
NC

Other

Enumeration date
10/20/2021
Last updated
07/15/2024
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