JANESSA LYNN TIDWELL

GOODYEAR, AZ
NPI1114551231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  TSLP12279)
Enumeration Date2020-02-27
Last Update Date2020-02-27
Business Address
JANESSA LYNN TIDWELL CF-SLP
13575 W MCDOWELL RD
GOODYEAR, AZ 85395-2604
Phone number: 623-536-9911
Mailing Address
JANESSA LYNN TIDWELL CF-SLP
12376 W DEVONSHIRE AVE
AVONDALE, AZ 85392-4258
Phone number: 417-650-1146
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