Sara Rose Mitchell, LCSW
Social Worker, Clinical in Fort Collins, CO. Individual provider (NPI-1).
NPI number1861696874
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861696874
- Entity type
- Individual (NPI-1)
- Name
- Sara Rose Mitchell
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 548 | CO | Yes |
Practice location
726 Mathews StFort Collins, CO 80524-3313
Phone 970-472-0609
Mailing address
3570 Revere Ct EWellington, CO 80549-1694
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