Individual
NICOLE SELINA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS SLP
Contact information
Practice address
597 W CALLE CAJETA, SAHUARITA, AZ 85629-7900
(520) 977-0954
Mailing address
597 W. CALLE CAJETA, SAHUARITA, AZ 85629
(520) 977-0954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5279
AZ
Other
Enumeration date
02/21/2007
Last updated
02/13/2009
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