CHARLES WILLIAM KIDWELL

SACRAMENTO, CA
NPI1043334980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  09093)
Enumeration Date2007-03-17
Last Update Date2007-07-08
Business Address
Mr. CHARLES WILLIAM KIDWELL LCSW
2008 MORSE AVE
SACRAMENTO, CA 95825-2135
Phone number: 916-973-5300
Mailing Address
Mr. CHARLES WILLIAM KIDWELL LCSW
14950 S PONDEROSA WAY
GRASS VALLEY, CA 95949-7627
Phone number: 530-272-1114