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Carol Tidwell MS. LCPC NPI 1003250754

Classification
Counselor
Type
Mental Health
Specialization
Mental Health
License No.
LCPC-5223
License State
ID
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
225 S LINDER RD APT A308, EAGLE, ID, 836164421
Business Phone
208-546-1808
Mailing Address
225 S LINDER RD APT A308, EAGLE, ID, 836164421
Mailing Phone
208-794-9502
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