Individual
GLENN ERIC MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 UNION ST STE J, LYNN, MA 01901-1311
(207) 699-9858
Mailing address
181 UNION ST STE J, LYNN, MA 01901-1311
(207) 699-9858
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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