Individual
JEFFREY KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1777 AXTELL DR, TROY, MI 48084-4404
(248) 862-1171
Mailing address
1777 AXTELL DR, TROY, MI 48084-4404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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