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1902020944
MICHELLE R. WITT
EDWARDSVILLE, IL
NPI
1902020944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-012361)
Enumeration Date
2007-04-12
Last Update Date
2020-12-27
Business Address
Mrs. MICHELLE R. WITT LCSW
210 BURNS FARM BLVD N
EDWARDSVILLE, IL 62025-2498
Phone number: 618-401-3825
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Mailing Address
Mrs. MICHELLE R. WITT LCSW
210 BURNS FARM BLVD N
EDWARDSVILLE, IL 62025-2498
Phone number: 184-013-8256
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