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1780055822
CONNIE TIDWELL
OGDEN, UT
NPI
1780055822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 379744-6004)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
MRS. CONNIE TIDWELL CMHC
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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Mailing Address
MRS. CONNIE TIDWELL CMHC
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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