Individual
CAROL LEE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, C-SLPA
Contact information
Practice address
1700 E BOGARD RD STE A200, WASILLA, AK 99654-6569
(907) 290-9595
Mailing address
3270 N PARKVIEW CIR, WASILLA, AK 99654-4316
(907) 414-8241
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
164759
AK
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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