Individual
TARA MICHELE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
705 E OVERLAND, SCOTTSBLUFF, NE 69361-3602
(308) 225-5330
Mailing address
360625 COUNTY ROAD K, MINATARE, NE 69356-2109
(308) 672-3003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1619
NE
1041C0700X
Clinical Social Worker
Primary
4704
NE
Other
Enumeration date
09/03/2013
Last updated
03/20/2024
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