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1720290497
JOSEPH R. WIDEMAN
SCRANTON, PA
NPI
1720290497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC003225)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- JOSEPH R. WIDEMAN M.S., C.A.C., L.P.C.
1002 PITTSTON AVE
SCRANTON, PA 18505-4169
Phone number: 570-344-2676
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Mailing Address
-- JOSEPH R. WIDEMAN M.S., C.A.C., L.P.C.
1002 PITTSTON AVE.
SCRANTON, PA 18505
Phone number: 570-344-2676
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