Individual
SAMANTHA WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BLACK POINT RD, RUMSON, NJ 07760-1552
(732) 842-0330
Mailing address
52 AMBASSADOR DR, RED BANK, NJ 07701-2290
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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