Individual
LAURIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4937 SPRING RD, VERONA, NY 13478-3526
(315) 361-5900
Mailing address
4937 SPRING RD, VERONA, NY 13478-3526
(315) 361-5900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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