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Individual
MRS. ANN S DITTMAR
Active
Individual
MRS. ANN S DITTMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW006295L
PA
1041C0700X
Clinical Social Worker
CW006295L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007610520008
—
PA
Enumeration date
01/02/2007
Last updated
11/02/2016
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