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1760024020
CASSONDRA JADE TIDWELL-BASHAM
JONESBORO, AR
NPI
1760024020
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Former Name
CASSONDRA JADE TIDWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2019-10-08
Last Update Date
2024-02-15
Business Address
Mrs. CASSONDRA JADE TIDWELL-BASHAM LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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Mailing Address
Mrs. CASSONDRA JADE TIDWELL-BASHAM LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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