Individual
SHANNON J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CHARTRES CT, LAKE ST LOUIS, MO 63367-1230
(618) 322-8746
Mailing address
10 CHARTRES CT, LAKE ST LOUIS, MO 63367-1230
(618) 322-8746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014000839
MO
Other
Enumeration date
04/23/2007
Last updated
01/16/2014
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