Most Relevant Information
Provider Data
| NPI Number: | 1003442328 |
| Provider Name: | NOEMI ANA MITZEL LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 92004 |
Most Important Dates
| Enumeration Date: | 03/18/2020 |
| Last Updated: | 03/18/2020 |
Provider Practice Location
4540 MAPLE AVE UNIT 243
LA MESA
CA
919416358
Practice Location Phone/Fax
| Phone: | 6194179936 |
| Fax: |
Provider Mailing Location
4540 MAPLE AVE UNIT 243
LA MESA
CA
919416358
Provider Mailing Phone/Fax
| Phone: | 6194179936 |
| Fax: |