Individual
MACEY WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SUNNYSIDE AVE, LAWRENCE, KS 66045-7100
(785) 864-0771
Mailing address
1000 SUNNYSIDE AVE, LAWRENCE, KS 66045-7599
(785) 864-0771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-60832
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/02/2018
Last updated
09/25/2020
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