Individual
TRACY JEAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 MERCER ST, PRINCETON, WV 24740
(304) 425-3160
Mailing address
1136 WRIGHTS VALLEY RD, BLUEFIELD, VA 24605-8946
(276) 322-5450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1902
WV
Other
Enumeration date
09/04/2018
Last updated
09/05/2018
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