Individual
BRENDA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 SW B AVE, LAWTON, OK 73501-3907
(580) 591-0720
Mailing address
601 SW B AVE, LAWTON, OK 73501-3907
(580) 591-0720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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