Individual
MRS. COLEEN D KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
4101 SW MARTIN DR STE C, TOPEKA, KS 66609-1221
(785) 783-8438
Mailing address
7300 SW CANNOCK CHASE RD, TOPEKA, KS 66614-1534
(785) 213-2986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4275
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4275
—
KS
Enumeration date
07/21/2014
Last updated
07/21/2014
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