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Individual

MRS. MAVERNIE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4960 ARLINGTON AVE, SUITE B, RIVERSIDE, CA 92504-2738
(951) 341-8930
(951) 341-8932
Mailing address
PO BOX 5109, RIVERSIDE, CA 92517-5109
(951) 341-8930
(951) 341-8932

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18030
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18030
STATE LICENSE
CA
Enumeration date
08/01/2006
Last updated
04/12/2017
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