Kenneth Carl Mitten, LCSW
NPI #1275847337 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1275847337
- Entity Type
- Individual
- Name
- Kenneth Carl Mitten, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 31, 2010
- Last Updated
- Aug 30, 2010
Practice Location
- Address
- 6810 CRUMPLER BLVD
- Address 2
- SUITE 303
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-1933
- Phone
- (901) 483-9548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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