Individual
MELISA NOEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
3210 CHESTNUT ST STE 201, PHILADELPHIA, PA 19104-5407
(215) 895-1415
Mailing address
7536 DICKENS PL, PHILADELPHIA, PA 19153-1311
(267) 648-4358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136745
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
SW136745
PA
261QS1000X
Student Health Clinic/Center
SW136745
PA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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