Individual
MRS. KATHRYN MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1610 CENTER ST, SUITE A, MOBILE, AL 36604-1512
(251) 439-7850
(251) 432-9013
Mailing address
1610 CENTER ST, SUITE A, MOBILE, AL 36604-1512
(251) 439-7850
(251) 432-9013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0857G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
AL
Enumeration date
07/17/2013
Last updated
07/17/2013
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