Individual
JOHANNES KIEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3939 S PARK AVE STE 150, TUCSON, AZ 85714
(520) 333-4320
(520) 207-0542
Mailing address
1493 CAMBRIDGE ST. CAMBRIDGE HOSPITAL, CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE, MA 02139
(617) 665-1185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW-17244
AZ
Other
Enumeration date
07/24/2014
Last updated
06/13/2018
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