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Individual

SHAUNA AUTUMN JOY KIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
200 HOME RD, COVINGTON, KY 41011-1942
(859) 261-8768
(859) 291-2431
Mailing address
200 HOME RD, COVINGTON, KY 41011-1942
(859) 261-8768
(859) 291-2431

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001560
KY

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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