Individual
KANISHA DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 914-6880
Mailing address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 914-6880
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/03/2024
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