CASSONDRA JADE TIDWELL-BASHAM

JONESBORO, AR
NPI1760024020
Former NameCASSONDRA JADE TIDWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2019-10-08
Last Update Date2024-02-15
Business Address
Mrs. CASSONDRA JADE TIDWELL-BASHAM LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
Mailing Address
Mrs. CASSONDRA JADE TIDWELL-BASHAM LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886