Individual
KADIJAH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PARK ST, MC GEHEE, AR 71654-2915
(501) 557-6695
Mailing address
1601 N SHACKLEFORD RD, APT.317, LITTLE ROCK, AR 72211-1938
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
R#17-004
AR
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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