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1518949312
HENRY CLAY TIDWELL
LAPEER, MI
NPI
1518949312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801070986)
Enumeration Date
2005-11-17
Last Update Date
2007-11-23
Business Address
Mr. HENRY CLAY TIDWELL LMSW-CSW
1375 N MAIN ST
LAPEER, MI 48446-1350
Phone number: 810-667-5500
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Mailing Address
Mr. HENRY CLAY TIDWELL LMSW-CSW
1375 N MAIN ST
LAPEER, MI 48446-1350
Phone number: 810-667-5500
Copy
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