Susan Kidder

NPI #1134455934 in Grove, Oklahoma

Provider Information

NPI Number: 1134455934
Entity Type: Individual
Name: Susan Kidder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 29, 2009
Last Updated: Oct 29, 2009

Practice Location

Address: 1115 HARBER RD.
Address 2: DELAWARE COUNTY CLINIC
City: Grove
State: Oklahoma
ZIP Code: 74344-7918
Phone: (918) 786-4434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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