Individual
AIMEE RENEE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27121 174TH PL SE STE 1005, COVINGTON, WA 98042-4939
(425) 399-3245
Mailing address
8551 ZIRCON DR SW # E79, LAKEWOOD, WA 98498-5113
(253) 468-3636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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