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1912415969
AMY TIDWELL
CITRUS HEIGHTS, CA
NPI
1912415969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-11
Last Update Date
2018-05-25
Business Address
AMY TIDWELL
5620 BIRDCAGE ST STE 230
CITRUS HEIGHTS, CA 95610
Phone number: 916-298-6874
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Mailing Address
AMY TIDWELL
5620 BIRDCAGE ST STE 230
CITRUS HEIGHTS, CA 95610-7632
Phone number: 916-256-2805
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