Individual
MRS. MARYANN P. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. SLP-CFY
Contact information
Practice address
19505 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1643
(313) 832-1100
Mailing address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000474
MI
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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