Individual
MISS LILLIAN MICHELLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 852-6524
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 852-6524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5730
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588615918
—
SC
Enumeration date
05/08/2013
Last updated
05/08/2013
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