Individual
DIANE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0029959
OH
1041S0200X
School Social Worker
S0029959
OH
Other
Enumeration date
08/01/2019
Last updated
03/21/2024
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