Suzy Tidwell, LCSW

NPI #1134731201 in West Valley City, Utah

Provider Information

NPI Number
1134731201
Entity Type
Individual
Name
Suzy Tidwell, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 20, 2020
Last Updated
Aug 20, 2020

Practice Location

Address
3280 W 3500 S STE E
State
Utah
ZIP Code
84119-2668
Phone
(801) 979-1351

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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