Individual
LAUREEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BULL ST., COLUMBIA, SC 29201-2104
(803) 898-3432
Mailing address
2100 BULL ST., COLUMBIA, SC 29201-2104
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
240106
SC
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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