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1114677523
CARRIE TIDWELL
ARKADELPHIA, AR
NPI
1114677523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-28
Last Update Date
2023-01-27
Business Address
CARRIE TIDWELL
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923-5307
Phone number: 870-230-8217
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Mailing Address
CARRIE TIDWELL
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923-5307
Phone number: 870-230-8217
Copy
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