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NPI Code Detail

MEDICARE: MS. ARLENE MITCHELL LSW

MEDICARE:  MS. ARLENE  MITCHELL  LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor150013202IL

General Provider Information

NPI Number : 1720671498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ARLENE MITCHELL LSW
Provider Business Mailing Address
First Line : 17461 PARK LN
Second Line :
City : COUNTRY CLUB HILLS
State : IL
Zip : 60478-4648
Country : US
Telephone Number : 773-520-2539
Fax Number :
Provider Business Practice Location Address
First Line : 17461 PARK LN
Second Line :
City : COUNTRY CLUB HILLS
State : IL
Zip : 60478-4648
Country : US
Telephone Number : 773-520-2539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2021
Last Update Date : 02/14/2021

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Directions to “ MS. ARLENE MITCHELL LSW” Practice Location

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