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Individual
MARKIE KIDD
Active
Individual
MARKIE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1577
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
162974
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
26R503
IA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
03/30/2026
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