Tidwell Social Work Services and Consulting, Inc.

NPI #1124476858 in Boise, Idaho

Provider Information

NPI Number
1124476858
Entity Type
Organization
Organization Name
Tidwell Social Work Services and Consulting, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 3, 2016
Last Updated
Sep 16, 2019

Practice Location

Address
5999 W. STATE ST.
City
Boise
State
Idaho
ZIP Code
83703
Phone
(208) 853-5095

Authorized Official

Name
KATHY MATLOCK TIDWELL, LCSW
Title
CLINIC SUPERVISOR
Phone
(208) 853-6649

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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