BRIANNA TEGAN KIDWELL

GRASS VALLEY, CA
NPI1295497444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-10-05
Last Update Date2021-10-05
Business Address
BRIANNA TEGAN KIDWELL
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-741-2728
Mailing Address
BRIANNA TEGAN KIDWELL
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number:
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