JAMES HERMAN WIDNER

ALBUQUERQUE, NM
NPI1821353616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0133671)
Enumeration Date2012-07-09
Last Update Date2012-07-09
Business Address
-- JAMES HERMAN WIDNER LADAC, CADAC
912 1ST ST NW
ALBUQUERQUE, NM 87102-2355
Phone number: 505-224-9777
Mailing Address
-- JAMES HERMAN WIDNER LADAC, CADAC
912 1ST ST NW
ALBUQUERQUE, NM 87102-2355
Phone number: 505-224-9777
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