Wittenborn, Patricia M

Wittenborn, Patricia M is an individual health care provider with primary practice located at 2935 N Ashley St , Valdosta GA 31602-1777. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wittenborn, Patricia M can be contacted via phone (229) 247-8700.

Contact Information

Primary practice address
2935 N Ashley St Valdosta GA 31602-1777
Phone: (229) 247-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 17917 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005326 Georgia

Profile Details

NPI number 1467477158
LBN Legal business name Wittenborn, Patricia M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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