Individual
LIANE MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 THE CITY DR S, ORANGE, CA 92868-3205
(714) 935-6363
Mailing address
301 THE CITY DR S, ORANGE, CA 92868-3205
(714) 935-6363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
11/29/2018
Last updated
05/12/2021
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