EDWARD MITCHELL

Community/Behavioral Health

Active Individual
NPI: 1164834453

Practice Address

2405 NORTHWESTERN AVE # LL15
Racine, WI 53404

Phone: (262) 260-8370

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes 15732-131 (WI)

Frequently Asked Questions

NPI 1164834453 is the National Provider Identifier for EDWARD MITCHELL, a Community/Behavioral Health provider located in Racine, WI. This NPI was enumerated on May 21, 2014.
EDWARD MITCHELL practices at 2405 NORTHWESTERN AVE # LL15, Racine, WI 53404.

Quick Facts

NPI
1164834453
Type
Individual
Enumerated
May 21, 2014
Last Updated
May 21, 2014

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