Individual
ABIGAIL M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506-3155
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-101721
MI
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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