Most Relevant Information
Provider Data
| NPI Number: | 1003574229 |
| Provider Name: | JACQUELINE MITCHELL LCSW-C |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 0904017476 |
Most Important Dates
| Enumeration Date: | 12/05/2021 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
6069 FLAGSTONE CT
FREDERICK
MD
217015846
Practice Location Phone/Fax
| Phone: | 2403974356 |
| Fax: |
Provider Mailing Location
6069 FLAGSTONE CT
FREDERICK
MD
217015846
Provider Mailing Phone/Fax
| Phone: | 2403974356 |
| Fax: |