Individual
MRS. ANDRA RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
825 E THIRD STREET, GROVE, OK 74344
(918) 964-7025
Mailing address
825 E THIRD STREET, GROVE, OK 74344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3612
OK
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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