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1003248691
KELLY D MITCHELL
SAN ANTONIO, TX
NPI
1003248691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12125)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
-- KELLY D MITCHELL LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1024
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Mailing Address
-- KELLY D MITCHELL LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1000
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