Edward Mitchell
Edward Mitchell is a Community/Behavioral Health Agency in Racine, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
2405 Northwestern Ave # LL15Racine, WI 53404-2534
Phone: (262) 260-8370
Fax: (262) 260-8358
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 15732-131 (WI) |
|---|
Record details
| NPI number | 1164834453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2014 |
| Last updated in NPPES | May 21, 2014 |
| Mailing address | 2405 Northwestern Ave # Ll15, Racine, WI 53404-2534 |
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