Elise Mitchell
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1861979635
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1861979635
- Entity type
- Individual (NPI-1)
- Name
- Elise Mitchell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2018
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801108748 | MI | Yes |
Practice location
50 35th St SwGrand Rapids, MI 49548-2100
Phone 616-965-8200
Mailing address
100 Cherry St SeGrand Rapids, MI 49503-4526
Phone 616-965-8200
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