Amy L. Widenbaum, Lmsw, Pc

NPI 1053578179 - Social Worker - 1041C0700X

NPI Details
NPI 1053578179
Enumeration Date 05/16/2008
Last Updated 08/26/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name AMY L AMY
Position CLINICAL THERAPIST
Phone (248) 568-9680
Fax (734) 425-6212
Practice Location
18420 FARMINGTON RD
LIVONIA MI, 48152-3588, US
Phone (248) 568-9680
Fax (734) 425-6212
Business Location
18420 FARMINGTON RD
LIVONIA MI, 48152-3588, US
Phone (248) 568-9680
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801066237
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According to our database, Amy L. Widenbaum, Lmsw, Pc NPI is 1053578179, taxonomy code is 1041C0700X and license number is 6801066237, license state is located at Michigan. Amy L. Widenbaum, Lmsw, Pc physically located at 18420 Farmington Rd, Livonia MI, 48152-3588. NPI Number 1033115704 has the healthcare provider type.

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1053578179 NPI number is provided on an as is basis without warranty of any kind. 1053578179 is maintained by the National Plan & Provider Enumeration System. The contents of Amy L. Widenbaum, Lmsw, Pc are for informational purposes only.