Individual
DEBRA J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2222 COLONIAL RD STE 100, FORT PIERCE, FL 34950-5309
(772) 489-4726
(772) 489-0423
Mailing address
9955 S US HIGHWAY 1 APT 106, PORT SAINT LUCIE, FL 34952-5659
(317) 603-4038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
101YM0800X
FL
Enumeration date
02/09/2023
Last updated
06/28/2023
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