Individual
MS. SHANNEN MARCIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
3937 BOAT CLUB RD, LAKE WORTH, TX 76135-3202
(817) 238-9737
(817) 238-9963
Mailing address
400 S HENDERSON ST, FT WORTH, TX 76104-1017
(817) 335-2583
(817) 335-2597
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80378
TX
Other
Enumeration date
11/02/2009
Last updated
08/16/2021
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