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Organization

MICHELLE MONIQUE MITCHELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE MONIQUE MITCHELL (INDIVIDUAL)
(517) 414-4640
Entity
Organization

Contact information

Practice address
7957 BRANDON DR, PARMA, MI 49269-9519
(517) 414-4640
Mailing address
7957 BRANDON DR, PARMA, MI 49269-9519
(517) 414-4640

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
01/13/2010
Last updated
01/13/2010
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