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1336451913
REVA D. MITCHELL
PORT HURON, MI
NPI
1336451913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-12
Last Update Date
2010-07-12
Business Address
Mrs. REVA D. MITCHELL
1406 8TH ST
PORT HURON, MI 48060-5804
Phone number: 810-987-1258
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Mailing Address
Mrs. REVA D. MITCHELL
1406 8TH ST
PORT HURON, MI 48060-5804
Phone number: 810-987-1258
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