Individual
SANDRA WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 KENNEDY ST NW UNIT 2, WASHINGTON, DC 20011-3137
(202) 223-9630
Mailing address
5387 CHILLUM PL NE, WASHINGTON, DC 20011-2620
(202) 321-7922
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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