Individual
KAITLIN WIDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-3400
Mailing address
4708 CALEB WOOD DR, MOUNT AIRY, MD 21771-4951
(410) 967-5579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6805
MD
Other
Enumeration date
03/14/2014
Last updated
01/09/2025
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