Individual
MR. ANTHONY GLENN MITCHELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
862 S MAIN ST, BRIGHAM CITY, UT 84302-3320
(435) 723-1799
Mailing address
862 S MAIN ST, BRIGHAM CITY, UT 84302-3320
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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