Individual
CREELYN JOY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 727-9872
Mailing address
5406 EDGEWATER DR, EWA BEACH, HI 96706-3231
(808) 727-9872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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