Individual
JAIME MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
126597-121
WI
1041C0700X
Clinical Social Worker
Primary
8045-123
WI
Other
Enumeration date
02/24/2011
Last updated
12/05/2024
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