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1669148995
KAILAH L TIDWELL
LITTLE ROCK, AR
NPI
1669148995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A1809124)
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
KAILAH L TIDWELL LAC
323 CENTER ST STE 1401
LITTLE ROCK, AR 72201-2644
Phone number: 501-412-5327
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Mailing Address
KAILAH L TIDWELL LAC
323 CENTER ST STE 1401
LITTLE ROCK, AR 72201-2644
Phone number: 501-412-5327
Copy
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