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Individual
MR. KARL KEITH MITCHENER
Active
Individual
MR. KARL KEITH MITCHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146001263
IL
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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