Individual
MRS. ANITA DENISE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAE, PLE, DI
Contact information
Practice address
117 WINGATE AVE, GLASGOW, KY 42141-2257
(270) 361-2718
(270) 361-2718
Mailing address
117 WINGATE AVE, GLASGOW, KY 42141-2257
(270) 361-2718
(270) 361-2718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
KY
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
10/24/2006
Last updated
06/14/2016
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