Individual
MRS. KRISTEN MALLORY WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5863 W COUNTY ROAD 1200 S, JASONVILLE, IN 47438-8869
(812) 665-9585
Mailing address
5863 W COUNTY ROAD 1200 S, JASONVILLE, IN 47438-8869
(812) 665-9585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002036A
IN
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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