Individual
JENNIFER MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E PACKWOOD AVE APT H207, MAITLAND, FL 32751-5799
(407) 803-1580
Mailing address
430 E PACKWOOD AVE APT H207, MAITLAND, FL 32751-5799
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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