Individual
MELISSA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
Mailing address
2769 BRENDA ST, MARIANNA, FL 32448-4533
(850) 693-6957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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