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Individual

CHARITY KIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1889 ANDREWS AVE, OZARK, AL 36360-3729
(334) 493-5712
Mailing address
295 PRIVATE ROAD 1302, BRANTLEY, AL 36009-3210
(334) 493-5712

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/02/2024
Last updated
07/02/2024
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