Individual
AJA WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 HACKBERRY ST, GREEN RIVER, WY 82935-4914
(307) 707-1660
Mailing address
415 HACKBERRY ST, GREEN RIVER, WY 82935-4914
(307) 707-1660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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