Individual
JENNIFER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9730 HEALTHWAY DRIVE, BERLIN HEALTH CENTER, BERLIN, MD 21811
(410) 629-0164
(410) 629-0185
Mailing address
38293 BLUEBIRD LANE #426, SELBYVILLE, DE 19975
(443) 604-8668
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
03/24/2011
Last updated
03/24/2011
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