Individual
RENEE THERESE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4827 W 123RD ST, SAVAGE, MN 55378-1364
(612) 325-0373
Mailing address
1619 JOHNNY CAKE RIDGE LN, EAGAN, MN 55122-5504
(612) 325-0373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13254
MN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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