MRS. Stephanie M Wideman, MSW, LCSW

NPI #1689320764 in Festus, Missouri

Provider Information

NPI Number
1689320764
Entity Type
Individual
Name
MRS. Stephanie M Wideman, MSW, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LCSW
Enumeration Date
Feb 27, 2022
Last Updated
Feb 27, 2022

Practice Location

Address
1810 GARDINA DR
City
Festus
ZIP Code
63028-2345
Phone
(636) 222-1390

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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