Individual
KIMBERLY WITCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7827 WISE AVE, DUNDALK, MD 21222-3339
(410) 282-7222
Mailing address
7827 WISE AVE, DUNDALK, MD 21222-3339
(410) 282-7222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04397
MD
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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