Individual
AMANDA DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 S HARVARD AVE, TULSA, OK 74114-1960
(918) 747-6377
Mailing address
2140 S HARVARD AVE, TULSA, OK 74114-1960
(918) 747-6377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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