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LORRIE MAE MITCHELL LMSW-CC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1114407905

Individual Registrant:
 LORRIE MAE MITCHELL LMSW-CC
Gender: F
Sole Proprietor

Location and contact information for practice:
315 LILY RD  DEDHAM, ME 04429-4825 US
Tel: 207-356-4036  Fax: --

Contact information for business:
315 LILY RD  DEDHAM, ME 04429-4825 US
Tel: 207-356-4036  Fax: --

Registration Information:
NPI: 1114407905
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
MEMC16869

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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