Individual
SHANTRELLE DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 BROADWAY, EVERETT, WA 98201-3642
(386) 538-1638
Mailing address
23 RYBAR LN, PALM COAST, FL 32164-6445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
10/01/2024
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