Individual
AMANDA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1308 N MAIN ST, CROWN POINT, IN 46307-2719
(219) 663-6353
Mailing address
1308 N MAIN ST, CROWN POINT, IN 46307-2719
(219) 663-6353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3301471A
IN
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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