Individual
MRS. ERICA DANESE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 448-1933
(904) 448-0349
Mailing address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 394-5703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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