Individual
ELOISE DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3801 W 50TH ST, MINNEAPOLIS, MN 55410-2047
(612) 275-6593
Mailing address
3909 23RD AVE S, MINNEAPOLIS, MN 55407-3038
(612) 275-6593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306521
MN
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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