Individual
CAROLINE KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5271 GETWELL RD, SOUTHAVEN, MS 38672-9608
(662) 772-5924
Mailing address
103 MILL ST, COMO, MS 38619-9300
(662) 560-7363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4725
MS
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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