SHANE KIDD

ATLANTA, GA
NPI1013640903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-07-07
Last Update Date2022-07-07
Business Address
SHANE KIDD
1900 THE EXCHANGE SE STE 100
ATLANTA, GA 30339-2022
Phone number: 404-233-3949
Mailing Address
SHANE KIDD
3511 ORCHARD ST
CLARKSTON, GA 30021-1145
Phone number: 817-939-3961