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Individual

EMILY LOUISE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
819 COLORADO DR, XENIA, OH 45385-4859
(937) 562-9706
Mailing address
2852 NACOMA PL, KETTERING, OH 45420-3841
(513) 417-5529

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.11565
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0400470
OH
Enumeration date
01/08/2014
Last updated
11/10/2023
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