Individual
TYEISHA NICOLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E CHASE ST STE 1105, BALTIMORE, MD 21202-2564
(443) 531-1999
Mailing address
1 E CHASE ST STE 1105, BALTIMORE, MD 21202-2564
(443) 531-1999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24830
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
05/30/2019
Last updated
02/26/2025
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