Individual
MS. KRISTIN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05092500
NJ
1041C0700X
Clinical Social Worker
R059209-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051123
M.H.N.
NJ
Enumeration date
12/13/2006
Last updated
11/28/2011
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