Individual
MRS. JOANNA BODINE WIDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16965 PINE LN STE 103, PARKER, CO 80134-6517
(303) 841-9292
Mailing address
2580 S GRANT ST, DENVER, CO 80210-5706
(610) 724-5974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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