Individual
MS. DEBORA DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.G.S.W.
Contact information
Practice address
23 PRESTON PLAZA DR, KINGWOOD, WV 26537-1137
(304) 329-0013
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00943890
WV
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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