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1114696937
CHANNON MELLISA MITCHELL
INGLEWOOD, CA
NPI
1114696937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
CHANNON MELLISA MITCHELL
145 N PRAIRIE AVE
INGLEWOOD, CA 90301-1904
Phone number: 310-912-9274
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Mailing Address
CHANNON MELLISA MITCHELL
145 N PRAIRIE AVE
INGLEWOOD, CA 90301-1904
Phone number: 310-912-9274
Copy
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