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Individual
TRACY D. MITCHELL
Active
Individual
TRACY D. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24-382288
TX
202K00000X
Phlebology Physician
76A33366AA1E78C
TX
376K00000X
Nurse's Aide
NA0008786457
TX
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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