Individual
MRS. RACHAEL ELISABETH WITTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(641) 430-6353
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2017
AL
Other
Enumeration date
04/25/2012
Last updated
02/20/2017
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