SAMANTHA TIDWELL

GALLATIN, TN
NPI1790117174
Former NameSAMANTHA VOSO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  5798)
Enumeration Date2013-08-07
Last Update Date2022-07-21
Business Address
-- SAMANTHA TIDWELL SLP-CCC
695 E MAIN ST
GALLATIN, TN 37066-2472
Phone number: 423-622-1551
Mailing Address
-- SAMANTHA TIDWELL SLP-CCC
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number: 423-622-1551
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