Individual
KIMBERLY WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1018 N CHRISTIAN ST STE 203, LANCASTER, PA 17602-1900
(717) 820-7748
(570) 253-5990
Mailing address
1018 N CHRISTIAN ST STE 203, LANCASTER, PA 17602-1900
(717) 820-7748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW133938
PA
1041C0700X
Clinical Social Worker
Primary
CW021211
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036677420001
—
PA
Enumeration date
12/12/2016
Last updated
03/21/2024
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