Individual
MS. TANYANIKA A TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20000 KINGWOOD DR, KINGWOOD, TX 77339-3801
(281) 312-8469
Mailing address
20000 KINGWOOD DR, KINGWOOD, TX 77339-3801
(281) 312-8469
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108779
TX
104100000X
Social Worker
108779
WA
Other
Enumeration date
05/07/2024
Last updated
03/03/2025
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