Individual
DR. MILDRED MARY WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
104 CRANE MEADOW PL, CHAPEL HILL, NC 27514-6859
(919) 317-2900
Mailing address
104 CRANE MEADOW PL, CHAPEL HILL, NC 27514-6859
(919) 402-0349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10521964
CAQH
NC
Enumeration date
03/29/2011
Last updated
03/29/2011
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