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Individual

JANINE MARIE DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
401 BROAD AVE, SUSQUEHANNA, PA 18847-1611
(570) 853-3995
Mailing address
1 ELY PARK BLVD APT 11-4, BINGHAMTON, NY 13905-1411
(570) 396-1123

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403648
NY

Other

Enumeration date
08/21/2021
Last updated
08/21/2021
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