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1891942256
CRYSTAL CHANEL MITCHELL
COLUMBIA, SC
NPI
1891942256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 7512)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
Ms. CRYSTAL CHANEL MITCHELL
8720 WINDSOR LAKE BLVD. 1116
COLUMBIA, SC 29223
Phone number: 850-673-9874
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Mailing Address
Ms. CRYSTAL CHANEL MITCHELL
8720 WINDSOR LAKE BLVD. 1116
COLUMBIA, SC 29223
Phone number:
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