Individual
MS. NICOLE MARIE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
870 WATERMAN AVE, EAST PROVIDENCE, RI 02914-1317
(401) 270-8446
Mailing address
870 WATERMAN AVE, EAST PROVIDENCE, RI 02914-1317
(401) 270-8446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00597
RI
Other
Enumeration date
10/20/2010
Last updated
09/23/2013
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