JASMYNE TIDWELL

Social Worker - Clinical

Active Individual
NPI: 1831433317

Practice Address

14700 MANZANITA PARK ROAD
Beaumont, CA 92223

Phone: (951) 845-3155

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1831433317 is the National Provider Identifier for JASMYNE TIDWELL, a Social Worker - Clinical provider located in Beaumont, CA. This NPI was enumerated on November 21, 2012.
JASMYNE TIDWELL practices at 14700 MANZANITA PARK ROAD, Beaumont, CA 92223.

Quick Facts

NPI
1831433317
Type
Individual
Enumerated
Nov 21, 2012
Last Updated
Nov 21, 2012

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