Individual
ALEXA KIMBERLY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(800) 736-3739
Mailing address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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