Individual
MS. STACIE R MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
900 E 162ND ST, SOUTH HOLLAND, IL 60473-2471
(708) 331-8111
(708) 331-8088
Mailing address
4707 PERSHING BLVD, KENOSHA, WI 53144-3505
(262) 620-1470
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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