Individual
MS. BRENDA ELEANOR MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
8233 E STOCKTON BLVD, SUITE D, SACRAMENTO, CA 95828-8203
(916) 368-3077
(916) 405-6551
Mailing address
8233 E STOCKTON BLVD, SUITE D, SACRAMENTO, CA 95828-8203
(916) 368-3077
(916) 405-6551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124112933
MEDI-CAL
CA
Enumeration date
10/05/2010
Last updated
10/05/2010
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