MRS. Jennifer P Tidwell, QMHP, MSW

NPI #1215364245 in Aurora, Illinois

Provider Information

NPI Number: 1215364245
Entity Type: Individual
Name: MRS. Jennifer P Tidwell, QMHP, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: QMHP, MSW
Enumeration Date: Oct 4, 2013
Last Updated: Oct 4, 2013

Practice Location

Address: 1230 N HIGHLAND AVE
City: Aurora
State: Illinois
ZIP Code: 60506-1401
Phone: (630) 966-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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