Individual
KEVA FITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16116 INVERRARY LN, BLOOMINGTON, IL 61705-5580
(319) 431-6890
Mailing address
1724 MORRIS AVE NW, CEDAR RAPIDS, IA 52405-5247
(319) 431-6890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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