Individual
ABIGAIL RUTH DEWITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3245 KEEWAHDIN RD, FORT GRATIOT, MI 48059-3498
(801) 937-2345
Mailing address
5039 VILLA LINDE PKWY STE 30, FLINT, MI 48532-3450
(989) 401-2244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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