Individual
AMBER MEGAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 N BROADWAY ST, COAL CITY, IL 60416-1688
(630) 352-7267
Mailing address
730 STATE ST, OTTAWA, IL 61350-3947
(815) 326-1060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021819
IL
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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