RUSSELL P WIDDER

DOVER, DE
NPI1336172386
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: DE  Q1-0000180)
Enumeration Date2006-07-09
Last Update Date2007-07-09
Business Address
-- RUSSELL P WIDDER LCSW
148 S BRADFORD ST
DOVER, DE 19904-7318
Phone number: 302-736-1820
Mailing Address
-- RUSSELL P WIDDER LCSW
160 EGRET LN
WYOMING, DE 19934-4002
Phone number: 302-736-1820
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