SHELBY O TIDWELL

ADA, OK
NPI1255658944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-04-21
Last Update Date2010-04-21
Business Address
MR. SHELBY O TIDWELL BA, PSRS
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-332-6851
Mailing Address
MR. SHELBY O TIDWELL BA, PSRS
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-332-6851
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