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1679836514
STEPHANIE LEIGH TIDWELL
JONESBORO, AR
NPI
1679836514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 6555-M)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-15
Last Update Date
2018-05-11
Business Address
STEPHANIE LEIGH TIDWELL LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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Mailing Address
STEPHANIE LEIGH TIDWELL LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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