DENNIS DARNELL WIDEMAN

PORT ST LUCIE, FL
NPI1255153094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2024-10-31
Last Update Date2025-04-16
Business Address
DENNIS DARNELL WIDEMAN
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5530
Phone number: 772-463-0444
Mailing Address
DENNIS DARNELL WIDEMAN
2547 FLORIDIANE DR
MELBOURNE, FL 32935-2816
Phone number: 321-271-8115
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