Individual
MR. JAMES WILLLIAM KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1 VA CENTER 122B, VA HOSPITAL, AUGUSTA, ME 04330
(207) 623-8411
(207) 623-5719
Mailing address
34 GREENLIEF ST, AUGUSTA, ME 04330-5325
(207) 622-4895
(207) 622-4895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5916
ME
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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