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Individual

LEANNE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DIPL. L.AC, LMT, ES

Contact information

Practice address
1035 S STATE ROAD 7 STE 315-27, WELLINGTON, FL 33414-6134
(561) 267-6464
Mailing address
5779 AUTUMN RIDGE RD, LAKE WORTH, FL 33463-6745
(561) 267-6464

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AP3321
FL
174400000X
Specialist
FB9732344
FL
174400000X
Specialist
Primary
MA53396
FL

Other

Enumeration date
10/01/2013
Last updated
08/26/2015
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