Individual
ANTHONY JACK DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSSW
Contact information
Practice address
286 EUCLID AVE STE 102, SAN DIEGO, CA 92114-3611
(161) 926-6211
Mailing address
286 EUCLID AVE STE 102, SAN DIEGO, CA 92114-3611
(161) 926-6211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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