Provider Demographics
NPI:1861010712
Name:NORMAND-WIDMER, CHARON (LLMSW)
Entity Type:Individual
Prefix:
First Name:CHARON
Middle Name:
Last Name:NORMAND-WIDMER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32841 MIDDLEBELT RD STE 403
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1714
Mailing Address - Country:US
Mailing Address - Phone:248-851-7739
Mailing Address - Fax:
Practice Address - Street 1:32841 MIDDLEBELT RD STE 403
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1714
Practice Address - Country:US
Practice Address - Phone:248-851-7739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical