Mitchell, Gwen E.

Mitchell, Gwen E. is an sole proprietor health care provider with primary practice located at 129 W 3Rd St , Moscow ID 83843-2268. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mitchell, Gwen E. can be contacted via phone (208) 885-3588.

Contact Information

Primary practice address
129 W 3Rd St Moscow ID 83843-2268
Phone: (208) 885-3588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1508989237
LBN Legal business name Mitchell, Gwen E.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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