Individual
MARGO PATRICIA WITTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
614 ROMENCE RD STE 245, PORTAGE, MI 49024-3613
(269) 615-7637
Mailing address
614 ROMENCE RD STE 245, PORTAGE, MI 49024-3613
(269) 615-7637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018816
MI
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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