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Individual

DATASHA MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 1358, ESTILL, SC 29918-1358
(803) 346-2553
Mailing address
350 PEACEMAKER CIR, ESTILL, SC 29918-3681
(803) 346-2553

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/30/2026
Last updated
06/30/2026
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