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Individual

KRISTIN LIANE DEWITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
414 STOKES RD, SUITE 106, MEDFORD, NJ 08055-8400
(856) 296-8187
(609) 257-6029
Mailing address
79 BRIDGEWATER DR, MARLTON, NJ 08053-4218
(856) 296-8187
(609) 257-6029

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/04/2009
Last updated
02/04/2009
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