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1245096411
LISA C TIDWELL
AMARILLO, TX
NPI
1245096411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 106020)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
LISA C TIDWELL LCSW
2631 ESTATES DR
AMARILLO, TX 79124-4605
Phone number: 806-881-8118
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Mailing Address
LISA C TIDWELL LCSW
2631 ESTATES DR
AMARILLO, TX 79124-4605
Phone number: 806-881-8118
Copy
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