Individual
MRS. JEVETTA LATRICE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
234 GROVEDALE TRCE, ANTIOCH, TN 37013-1969
(615) 501-0189
Mailing address
234 GROVEDALE TRCE, ANTIOCH, TN 37013-1969
(615) 501-0189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 0000003839
TN
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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