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Individual

MISS VALERIE MICHELLE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-9770
Mailing address
118 GEESLIN ROAD, LOT 5, GRENADA, MS 38901
(662) 289-1800
(662) 289-9770

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
M6205
MS

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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