Larae Mitchell
NPI #1003447145 in Taylorsville, Utah
Provider Information
- NPI Number
- 1003447145
- Entity Type
- Individual
- Name
- Larae Mitchell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 28, 2020
- Last Updated
- Jan 28, 2020
Practice Location
- Address
- 6013 S REDWOOD RD
- City
- Taylorsville
- State
- Utah
- ZIP Code
- 84123-5220
- Phone
- (801) 255-5131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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