Individual
MS. MELISSA BUNNELL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
914 BACA ST, SUITE D, SANTA FE, NM 87505-0972
(505) 920-8868
Mailing address
23 BOSQUE LOOP, SANTA FE, NM 87508-2231
(505) 920-8868
(505) 466-1029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3296
NM
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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