Individual
MRS. LORI ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1405 LILAC DR N STE 151, GOLDEN VALLEY, MN 55422-4536
(763) 525-9919
Mailing address
14800 WHITE OAK DR, BURNSVILLE, MN 55337-4155
(952) 891-2005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17526
MN
Other
Enumeration date
07/24/2008
Last updated
08/23/2019
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