Individual
EMILY KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1136 WOODVALE DR, BEDFORD, TX 76021-2328
(817) 721-1187
Mailing address
1136 WOODVALE DR, BEDFORD, TX 76021-2328
(817) 721-1187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65789
TX
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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