Individual
TENNILLE WOODARD MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP, LCSW
Contact information
Practice address
161 LANDMARK DR, TAYLORS, SC 29687-2819
(864) 244-0154
Mailing address
415 ASPENCREEK CIR APT 303, SPARTANBURG, SC 29301-6575
(252) 314-5492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
0904017701
VA
1041C0700X
Clinical Social Worker
Primary
17181
SC
1041C0700X
Clinical Social Worker
C017844
NC
Other
Enumeration date
07/19/2019
Last updated
11/27/2024
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