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1912120387
SUSAN WIDMAYER
FORT LAUDERDALE, FL
NPI
1912120387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL 002691)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
-- SUSAN WIDMAYER
1401 S FEDERAL HWY
FORT LAUDERDALE, FL 33316-2619
Phone number: 954-728-1055
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Mailing Address
-- SUSAN WIDMAYER
1401 S FEDERAL HWY
FORT LAUDERDALE, FL 33316-2619
Phone number: 954-728-1055
Copy
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