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1740854066
ALEXA M TIDWELL
WICHITA FALLS, TX
NPI
1740854066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-21-165085)
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
ALEXA M TIDWELL RBT
3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306-4235
Phone number: 940-386-2100
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Mailing Address
ALEXA M TIDWELL RBT
3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306-4235
Phone number: 940-386-2100
Copy
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