Ivy Mitchell

NPI #1750885711 in Bogart, Georgia

Provider Information

NPI Number
1750885711
Entity Type
Individual
Name
Ivy Mitchell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Mar 22, 2018
Last Updated
Mar 22, 2018

Practice Location

Address
188 BEN BURTON CIR STE 100
City
Bogart
State
Georgia
ZIP Code
30622-6802
Phone
(706) 395-7040

Specialties & Taxonomy Codes

Specialty
Counselor

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