Individual
MS. TERRI L MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 N STANDISH AVE, OKLAHOMA CITY, OK 73117-6016
(405) 464-0077
Mailing address
PO BOX 893219, OKLAHOMA CITY, OK 73189-3219
(405) 464-0077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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