Individual
ALEXIA GRACE WIDTFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 E MERRIMACK ST, LOWELL, MA 01852-1206
(978) 221-6923
Mailing address
73 E MERRIMACK ST, LOWELL, MA 01852-1206
(978) 221-6923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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