Doctor Name: | MRS. LESLIE MARIE KIDD |
NPI Number: | 1093085185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW-P |
License Number: | P006817 |
Business Practice Address: | 520 Cooper St Unit 4a Asheboro, NC - 272036296 |
Business Phone Number: | 3366331708 |
Business Fax Number: | |
Mailing Address: | 520 Cooper St, Unit 4a ASHEBORO |
State: | NC |
Postal Code: | 272036296 |
Phone Number: | 3366331708 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P006817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |