Individual
CRAIG TULLIS MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5922 S 2125 E, OGDEN, UT 84403-5350
(801) 476-1774
Mailing address
5922 S 2125 E, OGDEN, UT 84403-5350
(801) 476-1774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1253253501
UT
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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