Individual
MR. CARSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13947 S NEWBURG DR., HERRIMAN, UT 84096
(801) 506-6695
Mailing address
13947 S NEWBURG DR, HERRIMAN, UT 84096-6787
(801) 506-6695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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