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Individual

KATHERINE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(619) 857-1289
Mailing address
10404 SOUTHERN PINE PL, SAN DIEGO, CA 92131-1331

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA9401
AZ
235Z00000X
Speech-Language Pathologist
Primary
29665
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
N/A
Enumeration date
07/17/2015
Last updated
04/04/2025
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