Individual
MRS. BRANDY RENISE MITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
212 S LINCOLN ST STE A, LOWELL, AR 72745-9722
(479) 770-0744
(479) 770-0776
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2380-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228170719
—
AR
Enumeration date
08/29/2008
Last updated
01/10/2023
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