Individual
JILL WIDDOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 S COLLEGE AVE STE 102, NEWARK, DE 19713-1302
(302) 831-7100
Mailing address
540 S COLLEGE AVE, STE 102, NEWARK, DE 19713-1302
(302) 831-7100
(302) 831-7101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0001261
DE
Other
Enumeration date
07/31/2017
Last updated
05/08/2018
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