Individual
BONNIE SARA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
34 CHURCH ST., MARGARETVILLE, NY 12455
(845) 586-1716
(845) 586-1716
Mailing address
PO BOX 264, DENVER, NY 12421-0264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO23175
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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