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Individual

MR. ZACHARY SEAN WITTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.P.C.

Contact information

Practice address
29 HARVEST CT, GLEN CARBON, IL 62034-1622
(618) 334-8441
Mailing address
29 HARVEST CT, GLEN CARBON, IL 62034-1622
(618) 334-8441

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009322
IL

Other

Enumeration date
08/07/2012
Last updated
08/07/2023
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