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1134731201
SUZY TIDWELL
WEST VALLEY CITY, UT
NPI
1134731201
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Other Name
SUZY TIDWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 275895-3501)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
SUZY TIDWELL LCSW
3280 W 3500 S STE E
WEST VALLEY CITY, UT 84119-2668
Phone number: 801-979-1351
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Mailing Address
SUZY TIDWELL LCSW
3280 W 3500 S STE E
WEST VALLEY CITY, UT 84119-2668
Phone number: 801-979-1351
Copy
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