Individual
CHARLIE RAYMOND MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
288 N IRONWOOD DR, APACHE JUNCTION, AZ 85220-3830
(480) 982-2356
(480) 982-2449
Mailing address
288 N IRONWOOD DR, APACHE JUNCTION, AZ 85220-3830
(480) 982-2356
(480) 982-2449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1112
AZ
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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