person
Stacey Tidwell, LCSW
School Social Worker in Stockton, California
NPI 1790189413

Stacey Tidwell is a School Social Worker based in Stockton, CA and is specialized in School. Stacey Tidwell practices in Stockton, CA and has the professional credentials of LCSW. The NPI Number for Stacey Tidwell is 1790189413 and holds a License No. (California).

The current practice location address for Stacey Tidwell is 3311 Morada Ln, Stockton, CA and can be reached out via phone at 209-647-3047.

Location: 3311 Morada Ln, Stockton, CA, 95212-3148
person
Provider Profile Details
NPI Number
1790189413
Provider Name
Stacey Tidwell
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3311 Morada Ln, Stockton, CA, 95212-3148
Phone Number
209-647-3047
Fax Number
Provider Enumeration Date
10/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3311 Morada Ln
City
State
Zip
95212-3148
Phone Number
209-647-3047
Fax Number
person
Provider Business Mailing Address Details
Address
3311 Morada Ln
City
State
Zip
95212-3148
Phone Number
209-647-3047
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
()
Definition
Definition to come...
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