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Individual

ALI B MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34 N WASHINGTON ST, ARDMORE, OK 73401-7013
(580) 670-3117
Mailing address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(580) 823-8017

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/19/2020
Last updated
01/07/2024
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