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Individual

ELIZABETH L MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2725 PACKARD ST STE 101, ANN ARBOR, MI 48108-3443
(734) 677-0200
(734) 677-3310
Mailing address
1817 CHANDLER RD, ANN ARBOR, MI 48105-1681
(734) 730-1191

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009031
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301009031
STATE OF MICHIGAN LICENSE
MI
Enumeration date
11/13/2017
Last updated
06/29/2023
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