Tabitha L Kidd, AS

NPI #1396283420 in Pedro, Ohio

Provider Information

NPI Number: 1396283420
Entity Type: Individual
Name: Tabitha L Kidd, AS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: AS
Enumeration Date: Feb 9, 2017
Last Updated: Feb 9, 2017

Practice Location

Address: 115 PRIVATE ROAD 977
City: Pedro
State: Ohio
ZIP Code: 45659-8608
Phone: (740) 534-1386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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