Organization
TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.
Active
Other names
Tidwell Social Work Services and Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY M. TIDWELL LCSW (PRESIDENT)
(208) 853-5095
Entity
Organization
Contact information
Practice address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Mailing address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
ID
1041C0700X
Clinical Social Worker
Primary
—
ID
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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