Individual
TAMARA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. ED. S.
Contact information
Practice address
2850 5TH AVE, HUNTINGTON, WV 25702-1436
(304) 528-5019
(304) 528-5136
Mailing address
2850 5TH AVE, HUNTINGTON, WV 25702-1436
(304) 528-5019
(304) 528-5136
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
02/11/2015
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