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Individual

ASHLEY B. MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., C.C.C., S.L.P.

Contact information

Practice address
4500 I 55 N, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211-5930
(601) 362-0859
Mailing address
4500 I 55 N, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211-5930
(601) 362-0859

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3005
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07755847
MS
Enumeration date
09/10/2007
Last updated
09/10/2007
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