DEBBIE R. TIDWELL

POCATELLO, ID
NPI1780703819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LSW-27344)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- DEBBIE R. TIDWELL LSW
2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
Mailing Address
-- DEBBIE R. TIDWELL LSW
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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