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Individual

LINDSEY C TIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
58147
TX
104100000X
Social Worker
Primary
.0009924938
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407841299
TX
Enumeration date
08/12/2013
Last updated
11/08/2025
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