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Individual
MS. SUSAN ANNE WITT
Active
Individual
MS. SUSAN ANNE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
03-03-46
OR
1041C0700X
Clinical Social Worker
Primary
L2419
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500674555
—
OR
Enumeration date
01/23/2007
Last updated
05/17/2019
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