Individual
ANGELA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3903 W RIDGEVIEW DR, PEORIA, IL 61615
(309) 692-8260
Mailing address
3903 W RIDGEVIEW DR, PEORIA, IL 61615
(309) 692-8260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2288838
IL
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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