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1386684215
JIMMY D WIDENER
CEDAR BLUFF, VA
NPI
1386684215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA VA0701003500)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
-- JIMMY D WIDENER LPC
RTE 19 - 460
CEDAR BLUFF, VA 24609
Phone number: 276-964-6702
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Mailing Address
-- JIMMY D WIDENER LPC
PO BOX 810
CEDAR BLUFF, VA 24609
Phone number: 276-964-6702
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