Individual
D'ANTAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 N CLASSEN BLVD, SUITE 159, OKLAHOMA CITY, OK 73118-4627
(405) 607-6670
Mailing address
4801 N CLASSEN BLVD, SUITE 159, OKLAHOMA CITY, OK 73118-4627
(405) 607-6670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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