Provider Information for 1649821323
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TMERA MITCHELL LICSW, LMSW, CCM
Sex: Female
NPI: 1649821323
Last Updated: 2024-08-01
Certification Date: 2024-08-01
Certification Date: 2024-08-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649821323 | ||||||||
| Enumeration Date | 2019-09-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4526 FEDERAL AVE EVERETT, WA 98203-2132 United States Phone: 425-349-6200 | Fax: | ||||||||
| Primary Practice Address | 4526 FEDERAL AVE EVERETT, WA 98203-2132 United States Phone: 425-349-6200 | Fax: | ||||||||
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