TERESA ELAINE TIDWELL

VANCOUVER, WA
NPI1770825697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-03-18
Last Update Date2013-03-18
Business Address
Mrs. TERESA ELAINE TIDWELL MA, CDPT
1601 E 4TH PLAIN BLVD BLDG 17 STE B222
VANCOUVER, WA 98661-3753
Phone number: 360-397-8484
Mailing Address
Mrs. TERESA ELAINE TIDWELL MA, CDPT
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number: 360-397-8484
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