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Individual

KENYA M KIDDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1011 COLONIAL MANOR DR, GOSHEN, IN 46526-1297
(574) 238-3431
Mailing address
1011 COLONIAL MANOR DR, GOSHEN, IN 46526-1297
(574) 238-3431

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/15/2011
Last updated
09/09/2024
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