Individual
CAROLINE DE WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4253 TRANSPORT ST UNIT 1, VENTURA, CA 93003-5659
(805) 644-8255
Mailing address
3453 RICHLAND DR APT 6, SANTA BARBARA, CA 93105-3244
(805) 452-6211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30121
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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