Tidwell, Princess

Tidwell, Princess is an individual health care provider with primary practice located at 73 Holly Cv , Mount Laurel NJ 08054-2823. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Tidwell, Princess can be contacted via phone (856) 308-3827.

Contact Information

Primary practice address
73 Holly Cv Mount Laurel NJ 08054-2823
Phone: (856) 308-3827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1760984520
LBN Legal business name Tidwell, Princess
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2018
Last updated Mar 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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