Individual
DAJ'ZA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E PLUMMER BLVD, CHATHAM, IL 62629-8083
(217) 422-6704
Mailing address
920 S SPRING ST, SPRINGFIELD, IL 62704-2725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
11/27/2023
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