Individual
JUDITH WIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.ED
Contact information
Practice address
3000 CONNECTICUT AVE NW, SUITE 301, WASHINGTON, DC 20008-2509
(732) 397-7544
Mailing address
4509 SANGAMORE RD, APT.303, BETHESDA, MD 20816-2534
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
37FI00167900
NJ
106H00000X
Marriage & Family Therapist
Primary
LMFT000157
DC
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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