KATHY MATLOCK TIDWELL

BOISE, ID
NPI1669401311
Doing Business AsTIDWELL SOCIAL WORK SERVICES & CONSULTING
Entity TypeOrganization
Authorized ContactKATHY TIDWELL
Owner
208-853-5095
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2006-07-02
Last Update Date2010-06-16
Business Address
KATHY MATLOCK TIDWELL
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-5095
Mailing Address
KATHY MATLOCK TIDWELL
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-5095