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Individual

EARL GORDON WITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
4300 S LOUISE AVE STE 201, SIOUX FALLS, SD 57106-3124
(605) 334-7713
(605) 334-5348
Mailing address
4300 S LOUISE AVE STE 201, SIOUX FALLS, SD 57106-3124
(605) 334-7713
(605) 334-5348

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1885
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6575260
SD
Enumeration date
12/14/2005
Last updated
05/06/2021
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