Individual
MICHELLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 HIGH ST STE 1, FARMINGTON, ME 04938-1946
(207) 778-3556
Mailing address
PO BOX 2008, LEWISTON, ME 04241-2008
(207) 778-3556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC10634
ME
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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