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Individual
MAGGIE MITCHELL
Active
Individual
MAGGIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLA
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
—
—
2355S0801X
Speech-Language Assistant
Primary
916874019
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171428721
—
AR
Enumeration date
11/10/2008
Last updated
11/10/2008
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