Individual
JARROD JOSEPH WIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHRN-BC
Contact information
Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3455
Mailing address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3455
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN76959
ME
Other
Enumeration date
03/09/2011
Last updated
03/05/2024
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