Individual
KRISTIN MAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1840 MEMORIAL DR, CLARKSVILLE, TN 37043-4647
(931) 249-1081
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(931) 249-1081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16928
MD
1041C0700X
Clinical Social Worker
4517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3920038
—
TN
Enumeration date
03/06/2007
Last updated
06/06/2022
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