Diane Sue Bidwell, LSCSW

NPI #1730109471 in Mcconnell Afb, Kansas

Provider Information

NPI Number
1730109471
Entity Type
Individual
Name
Diane Sue Bidwell, LSCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LSCSW
Enumeration Date
Jul 19, 2006
Last Updated
Jan 4, 2023

Practice Location

Address
22ND MEDICAL GROUP
Address 2
57950 LEAVENWORTH
State
Kansas
ZIP Code
67221-3506
Phone
(316) 759-2069

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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