Individual
CHAD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 BIRCHFIELD DR, MOUNT LAUREL, NJ 08054-4005
(267) 506-2919
Mailing address
PO BOX 475, VOORHEES, NJ 08043-0475
(267) 506-2919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05984100
NJ
Other
Enumeration date
05/04/2014
Last updated
03/25/2021
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