ANTHONY TIDWELL

BENTON, AR
NPI1356774160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-08-15
Last Update Date2013-08-15
Business Address
-- ANTHONY TIDWELL Recovery Assistant
718 ALCOA RD
BENTON, AR 72015-3406
Phone number: 501-315-3344
Mailing Address
-- ANTHONY TIDWELL Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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