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General NPI Number Information
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NPI Number | 1134058456
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Entity Type | Individual
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Provider Name | LISA ROBIN MITCHELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 327 DAHLONEGA ST STE A601
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City | CUMMING
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State | GA
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Zip | 30040-2488
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Country | US
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Telephone | 678-595-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SHADWOOD PL
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City | DAWSONVILLE
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State | GA
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Zip | 30534-5977
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Country | US
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Telephone | 770-519-6952
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW010172
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License Number State | GA
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