Individual
JESSICA WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
230 TOUSLEY AVE S, NEW YORK MILLS, MN 56567-4401
(612) 913-7570
Mailing address
230 TOUSLEY AVE S, NEW YORK MILLS, MN 56567-4401
(612) 913-7570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015650
OR
235Z00000X
Speech-Language Pathologist
Primary
7867
MN
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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