NICOLE DANIELLE WIDMAN

TUSTIN, CA
NPI1972179828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  120505)
Enumeration Date2021-06-01
Last Update Date2024-01-24
Business Address
NICOLE DANIELLE WIDMAN LCSW
1 HOPE DR
TUSTIN, CA 92782-0221
Phone number: 714-247-0300
Mailing Address
NICOLE DANIELLE WIDMAN LCSW
14642 NEWPORT AVE STE 300
TUSTIN, CA 92780-6059
Phone number: 714-247-0300