Individual
MS. DEBORAH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19940 CONANT ST STE ABC, DETROIT, MI 48234-1494
(313) 733-4528
(313) 733-4532
Mailing address
19345 PATTON ST, DETROIT, MI 48219-2530
(313) 742-6016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
6803086683
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/30/2008
Last updated
10/19/2022
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