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Individual

MR. DARYL ALLEN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSW

Contact information

Practice address
107 S HIGH ST, ANTLERS, OK 74523-3818
(580) 215-1566
Mailing address
1109 BROOKHAVEN DR, ROYSE CITY, TX 75189-3545
(903) 513-9997

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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