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Individual

ANDREW WIDEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLPC

Contact information

Practice address
111 N WATER ST, LIBERTY, MO 64068-1736
(816) 301-4155
Mailing address
111 N WATER ST, LIBERTY, MO 64068-1736
(816) 301-4155

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024011636
MO

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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