Individual
AMANDA KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 54TH ST, OAKLAND, CA 94608-3142
(847) 927-1866
Mailing address
915 54TH ST, OAKLAND, CA 94608-3142
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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