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Individual

WYATT MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 761-8272
Mailing address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 761-8272

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15909
SC

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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