Individual
DWIGHT KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Contact information
Practice address
3208 OLEANDER DR, WILMINGTON, NC 28403-0800
(910) 233-5663
Mailing address
444 PHEASANT CT, WILMINGTON, NC 28403-2866
(704) 993-8067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016703
NC
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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