Individual
HEATHER WITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7524 MOSIER VIEW CT STE 200, FORT WORTH, TX 76118-7122
(817) 459-2401
(817) 549-5383
Mailing address
4521 SEVENTEEN LAKES CT, ROANOKE, TX 76262-3741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65578
TX
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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