Individual
MRS. CARRIE MEGHANN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 RANSDELL RD, LEBANON, IN 46052
(765) 430-8285
Mailing address
6373 DUSTY LAUREL DR, WHITESTOWN, IN 46075-9727
(765) 430-8285
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24128
IN
Other
Enumeration date
12/12/2016
Last updated
10/08/2018
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