Individual
LAURA THOMPSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6141
Mailing address
127 MIDLAND AVE, #2, MONTCLAIR, NJ 07042-2959
(718) 344-2665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05779600
NJ
1041C0700X
Clinical Social Worker
73 081118
NY
Other
Enumeration date
02/24/2010
Last updated
11/11/2013
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