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Individual

MAGGIE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLA

Contact information

Practice address
202 E PARKER ST, HAMBURG, AR 71646-3399
(870) 853-2836
Mailing address
202 E PARKER ST, HAMBURG, AR 71646-3244
(870) 853-2864

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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