Individual
MARY GRACE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
204 W SPRING ST, MONROE, GA 30655-1914
(770) 599-7508
(866) 734-7631
Mailing address
204 W SPRING ST, MONROE, GA 30655-1914
(770) 599-7508
(866) 734-7631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PENDING
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
LMSW
GA
Enumeration date
08/07/2025
Last updated
08/07/2025
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