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1720467970
HOLLIS WIDDEKIND
BOCA RATON, FL
NPI
1720467970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 12779)
Enumeration Date
2015-05-20
Last Update Date
2023-12-08
Business Address
HOLLIS WIDDEKIND LCSW
621 NW 53RD ST STE 125
BOCA RATON, FL 33487-8236
Phone number: 954-663-2475
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Mailing Address
HOLLIS WIDDEKIND LCSW
111 EUBANKS CT
WOODSTOCK, GA 30188-1903
Phone number: 954-663-2475
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