Individual
CHARITY N MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
102 CAMPUS AVE, LEWISTON, ME 04240-6019
(207) 777-4219
Mailing address
102 CAMPUS AVE, LEWISTON, ME 04240-6019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1531
ME
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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