Individual
SUSAN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3373
MN
Other
Enumeration date
07/11/2022
Last updated
09/10/2024
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