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1437713039
COURTNEY TIDWELL
FREDERICKSBURG, VA
NPI
1437713039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701006751)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
COURTNEY TIDWELL LPC
510 PRINCESS ANNE ST STE 101
FREDERICKSBURG, VA 22401-6077
Phone number: 540-693-0096
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Mailing Address
COURTNEY TIDWELL LPC
820 ABBERLY DR APT 104
STAFFORD, VA 22554-6562
Phone number: 703-927-1684
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