Individual
PATRICIA M DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
630 S NEWTON AVE, SPRINGFIELD, MO 65806-2742
(417) 865-6554
Mailing address
630 S NEWTON AVE, SPRINGFIELD, MO 65806-2742
(417) 865-6554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003003711
MO
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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