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1275695165
MARK E TIDSWORTH
LEXINGTON, SC
NPI
1275695165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: SC 3858)
Enumeration Date
2006-12-15
Last Update Date
2008-12-23
Business Address
MARK E TIDSWORTH M.ED.
1431 N LAKE DR
LEXINGTON, SC 29072-7651
Phone number: 803-808-9623
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Mailing Address
MARK E TIDSWORTH M.ED.
1431 N LAKE DR
LEXINGTON, SC 29072-7651
Phone number: 803-808-9623
Copy
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