Individual
SHEA WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5291 BRUTON AVE, MEMPHIS, TN 38135-8268
(870) 243-6505
Mailing address
5291 BRUTON AVE, MEMPHIS, TN 38135-8268
(870) 243-6505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5441
TN
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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