Individual
ANGELA CRENSHAW WITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 CREEKSTONE LN, PHENIX CITY, AL 36867-2422
(706) 718-5181
Mailing address
2815 CREEKSTONE LN, PHENIX CITY, AL 36867-2422
(706) 718-5181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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