Individual
MARIO MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 323-0701
(706) 596-5983
Mailing address
38 MAGNOLIA ST, CUTHBERT, GA 39840-5308
(229) 310-0237
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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