Individual
TIFFANY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752
(907) 442-7640
Mailing address
PO BOX 375, KOTZEBUE, AK 99752-0375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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