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Individual

KRYSTAL L WITTHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
123 BAVARIAN HILLS PLZ, HERMANN, MO 65041-1613
(573) 486-2118
(573) 486-3533
Mailing address
PO BOX 19, HERMANN, MO 65041-0019
(573) 486-1193
(573) 486-0910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008028021
MO

Other

Enumeration date
06/15/2009
Last updated
05/01/2025
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