Individual
MORGAN NICOLE WIDDOWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10514 RACETRACK RD STE G, BERLIN, MD 21811-3241
(410) 973-2301
(410) 973-2305
Mailing address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
05/15/2019
Last updated
05/25/2021
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