Individual
MR. KRISTOPHER DEWAYNE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
121 BEN BOLT AVE, TAZEWELL, VA 24651-9703
(276) 988-2515
Mailing address
121 BEN BOLT AVE, TAZEWELL, VA 24651-9703
(276) 988-2515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005778
VA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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