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Individual

DR. BETH AVONNE MITCHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1947 DIVISADERO ST STE 1, SAN FRANCISCO, CA 94115-2532
(415) 644-5754
Mailing address
1376 6TH AVE, SAN FRANCISCO, CA 94122-2504
(415) 279-7604

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY29597
CA

Other

Enumeration date
10/24/2017
Last updated
10/24/2017
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