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Individual

JENNA CATHERINE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11410 NE 122ND WAY STE 100, KIRKLAND, WA 98034-6927
(425) 650-4005
Mailing address
12945 NE 203RD ST, WOODINVILLE, WA 98072-5760
(903) 691-4491

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/07/2025
Last updated
05/07/2025
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