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Individual

CAROLYN L BIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
61 N WILLOW ST, STE #4, MESQUITE, NV 89027-4785
(702) 346-4696
(702) 346-4699
Mailing address
11576 RISCOS HILL RD, HC 33 BOX 2772, LAS VEGAS, NV 89161-1106
(303) 345-3460

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
225C00000X
Rehabilitation Counselor

Other

Enumeration date
06/19/2014
Last updated
06/19/2014
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