LEAH KIDD

BEAVER, WV
NPI1144438714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- LEAH KIDD BA
175 PHILPOT LANE
BEAVER, WV 25813
Phone number: 304-254-9262
Mailing Address
-- LEAH KIDD BA
321 VINE ST
BECKLEY, WV 25801-4845
Phone number: 304-250-7036