Individual
CAROL ANN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1074 WASSERMAN WAY, BATAVIA, OH 45103-1911
(513) 354-5200
Mailing address
1074 WASSERMAN WAY, BATAVIA, OH 45103-1911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC.121061-3
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCDC.121061-3
LICENSURE
OH
Enumeration date
10/25/2017
Last updated
10/25/2017
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