Individual
DARYL BOYD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
215 W DE QUEEN AVE., DE QUEEN, AR 71832
(870) 642-5992
(870) 642-5992
Mailing address
PO BOX 892, DE QUEEN, AR 71832-0892
(870) 642-5992
(870) 642-5992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1123-C
AR
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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