Individual
EMILY LOUISE KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 S. HUGH WALLIS RD., SUITE B-2, LAFAYETTE, LA 70508
(504) 517-1961
Mailing address
1003 S. HUGH WALLIS RD., SUITE B-2, LAFAYETTE, LA 70508
(504) 517-1961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
LA
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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