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1487865069
TRACEY T. MITCHELL
RICHMOND, CA
NPI
1487865069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- TRACEY T. MITCHELL
820 23RD ST
RICHMOND, CA 94804-1338
Phone number: 510-229-5000
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Mailing Address
-- TRACEY T. MITCHELL
57 BISSELL WAY
RICHMOND, CA 94801-3101
Phone number: 510-232-1968
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