Individual
SOPHIA WIDDEKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 KIRKVILLE RD STE 107, EAST SYRACUSE, NY 13057-9382
(315) 492-1309
Mailing address
3252 HENNEBERRY RD, JAMESVILLE, NY 13078-9662
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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