Individual
KAREN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1323 S SHANGRI LA DR, DAYTONA BEACH, FL 32119-1502
(386) 320-3305
Mailing address
1323 S SHANGRI LA DR, DAYTONA BEACH, FL 32119-1502
(386) 320-3305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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