Individual
MRS. TASHA D MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7907 ALEXANDERS CROSSING DR, OLIVE BRANCH, MS 38654-4447
(901) 288-8523
(662) 890-4614
Mailing address
7907 ALEXANDERS CROSSING DR, OLIVE BRANCH, MS 38654-4447
(901) 288-8523
(662) 890-4614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6029
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02989339
—
MS
Enumeration date
08/18/2006
Last updated
07/09/2007
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