Individual
KATHRYN DAVIS TIDD
Active
Individual
KATHRYN DAVIS TIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28095
MN
1041C0700X
Clinical Social Worker
5057
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/03/2014
Last updated
01/21/2021
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