AMY L. WIDENBAUM, LMSW, PC
Social Work at Farmington Rd, Livonia, MI

License number
Michigan 6801066237
Category
Social Work
Type
Clinical
Owner
Name: MS. AMY L WIDENBAUM LMSW
Title: CLINICAL THERAPIST
Phone: (248) 568-9680
Address
Address
18420 Farmington Rd, Livonia, MI 48152
National Provider ID: 1053578179
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AMY L. WIDENBAUM, LMSW, PC

Livonia, MI

Registration:
Feb 26, 2007
Addresses:
18420 Farmington Rd, Livonia, MI 48152 (Physical)
Michigan (Mailing)
State ID:
00564X
Business type:
Domestic Professional Service Corporation
Agent:
Amy L Widenbaum

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