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1912568726
KENDALL LEE TIDEY
WILMINGTON, NC
NPI
1912568726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P013745)
Enumeration Date
2019-06-23
Last Update Date
2020-01-09
Business Address
Mrs. KENDALL LEE TIDEY LCSWA
3001 WRIGHTSVILLE AVE STE B
WILMINGTON, NC 28403-4106
Phone number: 910-526-0550
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Mailing Address
Mrs. KENDALL LEE TIDEY LCSWA
6417 TIMBER CREEK LN
WILMINGTON, NC 28411-7466
Phone number: 910-990-9225
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