| Didi Hudson Kidder Lcsw Pllc | |
|
750 N Fielder Rd Arlington TX 76012-4635 | |
| (214) 232-3439 | |
| Not Available |
| Full Name | Didi Hudson Kidder Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 750 N Fielder Rd, Arlington, Texas |
| Authorized Official Name and Position | Didi Hudson Kidder (PRESIDENT) |
| Authorized Official Contact | 2142323439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Didi Hudson Kidder Lcsw Pllc 750 N Fielder Rd Arlington TX 76012-4635 Ph: (214) 232-3439 | Didi Hudson Kidder Lcsw Pllc 750 N Fielder Rd Arlington TX 76012-4635 Ph: (214) 232-3439 |
| NPI Number | 1053861740 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Medicare PECOS PAC ID | 4284916230 |
|---|---|
| Medicare Enrollment ID | O20170126001792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053861740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34293 (Texas) | Primary |
| Provider Name | Mary Hudson Kidder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134508468 PECOS PAC ID: 5193007144 Enrollment ID: I20170126002434 |
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