Individual
CAROL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 HARMONY CT, SAGINAW, MI 48601-1396
(989) 332-7579
Mailing address
31 HARMONY CT, SAGINAW, MI 48601-1396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000X
—
MI
Enumeration date
06/28/2016
Last updated
06/28/2016
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