Individual
JO ANNE MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 GLEN ST, GLENS FALLS, NY 12801
(518) 798-9187
Mailing address
499 GLEN ST, GLENS FALLS, NY 12801
(518) 798-9185
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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