Individual
MOLLIE ELIZABETH KIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4473 220TH AVE, REED CITY, MI 49677-8593
(989) 772-5930
Mailing address
854 S MCCLELLAND RD, WHITE CLOUD, MI 49349-9733
(248) 880-2069
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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