Individual
KATHLEEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7839 W ARQUILLA DR APT 1B, PALOS HEIGHTS, IL 60463-2638
(708) 336-1060
Mailing address
7839 W ARQUILLA DR APT 1B, PALOS HEIGHTS, IL 60463-2638
(708) 336-1060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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