Individual
ADRIENNE D WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 W BENJAMIN HOLT DR, SUITE 412, STOCKTON, CA 95207-3839
(209) 478-9862
Mailing address
555 W BENJAMIN HOLT DR, SUITE 412, STOCKTON, CA 95207-3839
(209) 478-9862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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