Individual
THOMAS KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 LEE ST, BRUNSWICK, GA 31520-7132
(912) 270-8025
Mailing address
1421 LEE ST, BRUNSWICK, GA 31520-7132
(912) 266-0077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3146
GA
101YP2500X
Professional Counselor
3146
GA
Other
Enumeration date
01/24/2006
Last updated
08/02/2025
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