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DR. THEODORE FRED WITZIG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
515 E HIGHLAND ST, MORTON, IL 61550-9501
(309) 263-5536
Mailing address
515 E HIGHLAND ST, MORTON, IL 61550-9501
(309) 263-5536

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006946
IL

Other

Enumeration date
08/23/2012
Last updated
08/23/2012
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