MR. Derrell R. Tidwell, LCSW
NPI #1871661074 in Port Townsend, Washington
Provider Information
- NPI Number
- 1871661074
- Entity Type
- Individual
- Name
- MR. Derrell R. Tidwell, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Feb 14, 2024
Practice Location
- Address
- 432 30TH STREET
- City
- Port Townsend
- State
- Washington
- ZIP Code
- 98368
- Phone
- (310) 670-4295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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