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Individual

MARY MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
161 KLEVIN ST, STE 103, ANCHORAGE, AK 99508-1508
(907) 561-8060
(907) 563-3172
Mailing address
1784 E NEIL CIR, WASILLA, AK 99654-8239
(301) 802-8832

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113725
AK

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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