Glenda K Mitchell, BA, PSRS

NPI #1164619052 in Idabel, Oklahoma

Provider Information

NPI Number: 1164619052
Entity Type: Individual
Name: Glenda K Mitchell, BA, PSRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: BA, PSRS
Enumeration Date: Sep 25, 2007
Last Updated: Sep 25, 2007

Practice Location

Address: 17 S CENTRAL AVE
City: Idabel
State: Oklahoma
ZIP Code: 74745-4625
Phone: (580) 286-5184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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