JACOB A WIDDEKIND

HOLLYWOOD, FL
NPI1720649627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH17127)
Enumeration Date2019-06-22
Last Update Date2019-06-22
Business Address
Mr. JACOB A WIDDEKIND MS
2421 HOLLYWOOD BLVD STE 1A
HOLLYWOOD, FL 33020-6605
Phone number: 954-369-0570
Mailing Address
Mr. JACOB A WIDDEKIND MS
2421 HOLLYWOOD BLVD STE 1A
HOLLYWOOD, FL 33020-6605
Phone number: 954-369-0570
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