Individual
MELANIE BAYER WITTHOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
762 TRANSFER ROAD, 21, ST. PAUL, MN 55114
(612) 337-4003
(612) 333-5614
Mailing address
762 TRANSFER RD, 21, SAINT PAUL, MN 55114-4506
(612) 337-4003
(612) 333-5614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20363
MN
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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