Individual
MRS. ANNETTE MARIE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
7186 WOODHAVEN DR, LOCKPORT, NY 14094-6211
(716) 380-9668
Mailing address
7186 WOODHAVEN DRIVE, RIGHT APARTMENT, LOCKPORT, NY 14094
(716) 380-9668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2300169
NY
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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