Provider Information for 1013213941
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STEPHEN R WITTE LCSW-R
Other Names:Professional Name:STEPHEN R WITTE MSWSex: Male
NPI: 1013213941
Last Updated: 2018-06-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013213941 | ||||||||||||
| Enumeration Date | 2011-02-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 57 SOUTH ST APT 7 DANBURY, CT 06810-8173 United States Phone: 203-791-1234 | Fax:203-456-5117 | ||||||||||||
| Primary Practice Address | 57 SOUTH ST APT 7 DANBURY, CT 06810 United States Phone: 203-791-1234 | Fax:203-456-5117 | ||||||||||||
| Secondary Practice Address(es) | 75 SEMINARY HILL RD | ||||||||||||
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