Individual
SHANNON C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
22672 LAMBERT ST STE 611, LAKE FOREST, CA 92630-1613
(949) 329-8161
Mailing address
16 GAVILAN, RANCHO SANTA MARGARITA, CA 92688-1600
(949) 842-6931
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5024
CA
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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