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Individual

SEAN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
(312) 965-2997
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/07/2021
Last updated
01/07/2021
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