Individual
AMANDA LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 MAIN ST, VAN BUREN, AR 72956-4557
(479) 471-6892
(479) 471-6859
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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