Individual
MS. CRYSTAL CHANEL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8720 WINDSOR LAKE BLVD., 1116, COLUMBIA, SC 29223
(850) 673-9874
Mailing address
8720 WINDSOR LAKE BLVD., 1116, COLUMBIA, SC 29223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7512
TN
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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