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Individual

MRS. CYNTHIA A. TIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
322 AMHERST STREET, WILLOWDALE COUNSELING CENTER, PLLC, NASHUA, NH 03063
(603) 881-7554
(603) 881-7533
Mailing address
322 AMHERST STREET, WILLOWDALE COUNSELING CENTER, PLLC, NASHUA, NH 03063
(603) 881-7554
(603) 881-7533

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
#439
NH
1041C0700X
Clinical Social Worker
439
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30421869
NH
Enumeration date
10/04/2006
Last updated
06/23/2009
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