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Individual

EVAN CLIFT MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1801 AMERICAN BLVD E # 55425, MINNEAPOLIS, MN 55425-1232
(952) 767-2267
Mailing address
1801 AMERICAN BLVD E # 55425, MINNEAPOLIS, MN 55425-1232
(952) 767-2267

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/01/2023
Last updated
05/01/2023
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