Individual
AMY S TIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
406 SUNRISE AVE STE 300, ROSEVILLE, CA 95661-4106
(916) 783-5207
(916) 783-9145
Mailing address
406 SUNRISE AVE STE 300, ROSEVILLE, CA 95661-4106
(916) 783-5207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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