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1083261663
ERIC TIDLINE
HOUSTON, TX
NPI
1083261663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 26747)
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
ERIC TIDLINE
3007 CAROLINE ST
HOUSTON, TX 77004-2822
Phone number: 713-528-2328
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Mailing Address
ERIC TIDLINE
5631 DRAKESTONE BLVD
HOUSTON, TX 77053-2010
Phone number: 713-434-1353
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