THELMA TIDWELL

SUSANVILLE, CA
NPI1912153081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-08-08
Last Update Date2008-08-08
Business Address
-- THELMA TIDWELL
1410 CHESTNUT ST
SUSANVILLE, CA 96130-3719
Phone number: 530-251-8112
Mailing Address
-- THELMA TIDWELL
1410 CHESTNUT ST
SUSANVILLE, CA 96130-3719
Phone number: 530-251-8112
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