Individual
ELISE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
327 W JEWELL DR, REPUBLIC, MO 65738-2211
(844) 536-8266
(844) 536-8266
Mailing address
327 W JEWELL DR, REPUBLIC, MO 65738-2211
(844) 536-8266
(844) 536-8266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
106440
AK
235Z00000X
Speech-Language Pathologist
Primary
2014016662
MO
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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