Individual
MACKENZIE LUCILLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 NORTH ST, BENNINGTON, VT 05201-1937
(802) 442-6353
Mailing address
300 HOAG RD, VALLEY FALLS, NY 12185-2307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009250
VA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/21/2018
Last updated
02/25/2020
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