Individual
HEATHER RENEE FITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCISW
Contact information
Practice address
59 RULAND RD STE H-4, KEARNEYSVILLE, WV 25430-2887
(304) 279-5553
Mailing address
93 MIDNOON DR, MARTINSBURG, WV 25404-3881
(304) 279-5553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
22318
MD
1041C0700X
Clinical Social Worker
Primary
DP00945031
WV
Other
Enumeration date
01/12/2017
Last updated
12/11/2019
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