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Individual

LAUREN-RENAE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
16300 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2158
(708) 596-5500
Mailing address
11122 S VERNON AVE APT 1, CHICAGO, IL 60628-4627
(708) 200-2414

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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