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1316030687
DAVID WARREN KIDDER
SLIDELL, LA
NPI
1316030687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: LA 542)
Enumeration Date
2006-10-01
Last Update Date
2009-05-12
Business Address
Dr. DAVID WARREN KIDDER Ph.D.
119 VILLAGE ST SUITE A
SLIDELL, LA 70458-5301
Phone number: 985-649-2011
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Mailing Address
Dr. DAVID WARREN KIDDER Ph.D.
178 W PINEWOOD DR
SLIDELL, LA 70458-1363
Phone number: 985-649-2011
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