Individual
MRS. KELLY KAE BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3757
(814) 333-5060
(814) 333-5067
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-2923
(814) 333-5187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017481
PA
Other
Enumeration date
10/27/2012
Last updated
04/09/2019
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