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Individual
MR. MICHAEL BIDWELL
Active
Individual
MR. MICHAEL BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0007915-SUPV
OH
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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