Individual
GARY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004865
MO
1041C0700X
Clinical Social Worker
—
IL
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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