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Individual
DYLAN KIDD
Active
Individual
DYLAN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106660
CA
1041C0700X
Clinical Social Worker
106660
CA
1041C0700X
Clinical Social Worker
Primary
128260
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/04/2020
Last updated
02/12/2025
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