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1679607295
STACEY F. KIDDER
BATON ROUGE, LA
NPI
1679607295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 6765)
Enumeration Date
2007-03-15
Last Update Date
2013-06-10
Business Address
Mrs. STACEY F. KIDDER M.S.W, L.C.S.W.
9035 BLUEBONNET BLVD. BLDG. 1
BATON ROUGE, LA 70810
Phone number: 225-769-5990
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Mailing Address
Mrs. STACEY F. KIDDER M.S.W, L.C.S.W.
9035 BLUEBONNET BLVD BLDG. 1
BATON ROUGE, LA 70810-2841
Phone number: 225-769-5990
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