Individual
MRS. TREANA MARIE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E CANAL DR, TURLOCK, CA 95380-3936
(209) 669-2583
Mailing address
420 E CANAL DR, TURLOCK, CA 95380-3936
(209) 669-2583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
110880
CA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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