CAROL TIDWELL

EAGLE, ID
NPI1003250754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-5223)
Enumeration Date2013-04-24
Last Update Date2023-06-05
Business Address
Ms. CAROL TIDWELL MS. LCPC
225 S LINDER RD APT A308
EAGLE, ID 83616-4421
Phone number: 208-546-1808
Mailing Address
Ms. CAROL TIDWELL MS. LCPC
225 S LINDER RD APT A308
EAGLE, ID 83616-4421
Phone number: 208-794-9502
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