Individual
MARTHA DAVIDSON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6306 BROCK CIR, BRANDON, MS 39042-2024
(601) 405-3696
Mailing address
6306 BROCK CIR, BRANDON, MS 39042-2024
(601) 405-3696
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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