Individual
LEAH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 NW 2ND ST # 142, LAWTON, OK 73507-7020
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-235843
TX
Other
Enumeration date
06/18/2024
Last updated
06/20/2024
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