Dianne Tidwell

NPI #1396247276 in Greenwood, Mississippi

Provider Information

NPI Number: 1396247276
Entity Type: Individual
Name: Dianne Tidwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 522 W PARK AVE STE Q-R
City: Greenwood
State: Mississippi
ZIP Code: 38930-2906
Phone: (662) 374-5029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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