Individual
VERONICA WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETARY SUPVSR.
Contact information
Practice address
706 N BROWN ST, CLARKSVILLE, AR 72830-2732
(479) 705-1301
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Enumeration date
05/07/2007
Last updated
06/20/2011
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