Individual
MRS. ADRIANE DORSEY KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5440 EXECUTIVE PL, SUITE B, JACKSON, MS 39206-4145
(601) 259-8993
Mailing address
5440 EXECUTIVE PL, SUITE B, JACKSON, MS 39206-4145
(601) 259-8993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1078
MS
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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