Individual
JOANNE R MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
4210 BEAVER RD, UNION, KY 41091
(859) 384-1828
Mailing address
4210 BEAVER RD, UNION, KY 41091
(859) 384-1828
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
60421952
KY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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