Individual
STEPHANIE NICOLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 WASHINGTON ST, EAST STROUDSBURG, PA 18301-2816
(610) 703-4563
Mailing address
35 WASHINGTON ST, EAST STROUDSBURG, PA 18301-2816
(610) 703-4563
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011630
PA
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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