BENJAMIN L TIDWELL

RIVERVIEW, FL
NPI1861407520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: AR  1283C)
Enumeration Date2006-07-30
Last Update Date2021-08-11
Business Address
MR. BENJAMIN L TIDWELL LCSW, CCDP-DIPLOMATE
5905 US 301 S
RIVERVIEW, FL 33578-3800
Phone number: 866-389-2727
Mailing Address
MR. BENJAMIN L TIDWELL LCSW, CCDP-DIPLOMATE
35 GOFF ST
VILONIA, AR 72173-9315
Phone number: 501-580-0116
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