Jasmyne Tidwell
NPI #1831433317 in Beaumont, California
Provider Information
- NPI Number
- 1831433317
- Entity Type
- Individual
- Name
- Jasmyne Tidwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 21, 2012
- Last Updated
- Nov 21, 2012
Practice Location
- Address
- 14700 MANZANITA PARK ROAD
- City
- Beaumont
- State
- California
- ZIP Code
- 92223
- Phone
- (951) 845-3155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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