AUSTIN WIDJAJA

GERMANTOWN, MD
NPI1083557441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2026-04-10
Last Update Date2026-04-10
Business Address
AUSTIN WIDJAJA
20410 OBSERVATION DR STE 108
GERMANTOWN, MD 20876-6419
Phone number: 240-296-6037
Mailing Address
AUSTIN WIDJAJA
18420 KINGSHILL RD
GERMANTOWN, MD 20874-2210
Phone number:
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