Individual
DEMARQUE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
111 NW 24TH ST, FORT WORTH, TX 76164-8544
(817) 626-6401
(817) 626-6400
Mailing address
111 NW 24TH ST, FORT WORTH, TX 76164-8544
(817) 626-6401
(817) 626-6400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56106
TX
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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