Individual
CAROL K MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
179 MAIN ST, SUITE 313, WATERVILLE, ME 04901-6672
(207) 872-5773
Mailing address
179 MAIN ST, SUITE 313, WATERVILLE, ME 04901-6672
(207) 872-5773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5083
ME
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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