Jessica Tidwell

NPI #1023399946 in Southgate, Michigan

Provider Information

NPI Number
1023399946
Entity Type
Individual
Name
Jessica Tidwell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Enumeration Date
Sep 6, 2011
Last Updated
Sep 6, 2011

Practice Location

Address
13101 ALLEN RD
ZIP Code
48195-2216
Phone
(734) 785-7700

Specialties & Taxonomy Codes

Specialty
Social Worker

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