Individual
FREDERICK L WITTENBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1 VICTORIA SQ, SUITE 105, PAINESVILLE, OH 44077-3406
(440) 352-8954
Mailing address
1 VICTORIA SQ, SUITE 105, PAINESVILLE, OH 44077-3406
(440) 352-8954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-0003912
OH
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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