Individual
JEAN MARIE TIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
40 SPRUCE ST, COLUMBUS, OH 43215-2204
(614) 227-6865
(614) 227-6873
Mailing address
548 TIBET RD, COLUMBUS, OH 43202-2249
(614) 263-5594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-8292
OH
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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