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Individual

BROOKE CAMDEN WIDDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2002 MACY DR, ROSWELL, GA 30076-6346
(770) 765-5965
Mailing address
880 MARIETTA HWY STE 630-245, ROSWELL, GA 30075-6755
(770) 765-5965

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012114
GA

Other

Enumeration date
06/22/2021
Last updated
02/05/2025
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