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Kerry D Mitchell, phd

Social Worker, Clinical in Chestnut Hill, MA. Individual provider (NPI-1).

NPI number1912005604
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1912005604
Entity type
Individual (NPI-1)
Name
Kerry D Mitchell
Credential
phd
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical101476MAYes

Practice location

500 Beacon St
Chestnut Hill, MA 02467-1168

Phone 617-989-0047 · Fax 617-244-6447

Mailing address

500 Beacon St
Chestnut Hill, MA 02467-1168

Phone 617-989-0047 · Fax 617-244-6447

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