Individual
MRS. NANETTE MARIE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS-CCC/SLP
Contact information
Practice address
17274 WHITE OAK AVE, LOWELL, IN 46356-9463
(219) 690-1051
Mailing address
17274 WHITE OAK AVE, LOWELL, IN 46356-9463
(219) 690-1051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.003787
IL
235Z00000X
Speech-Language Pathologist
Primary
22004036A
IN
Other
Enumeration date
07/21/2008
Last updated
07/23/2008
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