Individual
TAMARA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0414
(602) 933-4252
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
(949) 595-0296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
28577
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-20305
AZ
Other
Enumeration date
10/05/2016
Last updated
09/27/2024
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