Amy L. Widenbaum, Lmsw, PC

NPI #1053578179 in Livonia, Michigan

Provider Information

NPI Number: 1053578179
Entity Type: Organization
Organization Name: Amy L. Widenbaum, Lmsw, PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 16, 2008
Last Updated: Aug 26, 2013

Practice Location

Address: 18420 FARMINGTON RD
City: Livonia
State: Michigan
ZIP Code: 48152-3588
Phone: (248) 568-9680

Authorized Official

Name: MS. AMY L WIDENBAUM, LMSW
Title: CLINICAL THERAPIST
Phone: (248) 568-9680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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