Individual
JENNIFER KIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29750 HARPER AVE, SAINT CLAIR SHORES, MI 48082-2607
(586) 777-3200
(586) 777-7855
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010099
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
02/23/2022
Last updated
07/01/2026
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