Individual
CHRISTOPHER GERARD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, PHD
Contact information
Practice address
1040 W HARRISON ST, CHICAGO, IL 60607-7129
(312) 996-8509
Mailing address
1040 W HARRISON ST, CHICAGO, IL 60607-7129
(312) 996-8509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149007953
IL
Other
Enumeration date
08/08/2016
Last updated
09/11/2016
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