LORISA DAWN TIDWELL

OKLAHOMA CITY, OK
NPI1609213446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  4407)
Enumeration Date2013-06-03
Last Update Date2015-04-09
Business Address
-- LORISA DAWN TIDWELL LCSW
2632 LYNN LN
OKLAHOMA CITY, OK 73120-1702
Phone number: 402-366-8796
Mailing Address
-- LORISA DAWN TIDWELL LCSW
247 CUMBERLAND LN
ARDMORE, OK 73401-7568
Phone number: 405-693-6061
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