Individual
MICHELLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
303 PINEVIEW DR, WAYCROSS, GA 31501-5229
(912) 283-0777
(912) 283-7757
Mailing address
303 PINEVIEW DR, WAYCROSS, GA 31501-5229
(912) 283-0777
(912) 283-7757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009452
GA
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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