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Individual

MS. MARY C MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7666
Mailing address
2590 DORSET LN, BROOKFIELD, WI 53045-1738
(262) 782-7117

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
WI

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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