Individual
BETTY LYNN WIDENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 BUCKEY CT, LEWISVILLE, NC 27023-7745
(336) 946-2493
Mailing address
7076 ORCHARD PATH DR, CLEMMONS, NC 27012-8222
(336) 830-9737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1716
NC
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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