STEPHANIE LEIGH TIDWELL

JONESBORO, AR
NPI1679836514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: AR  6555-M)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2012-06-15
Last Update Date2018-05-11
Business Address
STEPHANIE LEIGH TIDWELL LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
Mailing Address
STEPHANIE LEIGH TIDWELL LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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