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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHY MATLOCK TIDWELL

Active Organization

KATHY MATLOCK TIDWELL is a Clinical Social Worker organization located in BOISE, Idaho. NPI 1669401311 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOISE, ID

Registration Details

NPI Number
1669401311
Provider Type
Organization
NPI Issued
Jul 2, 2006 (20.091103365929 yrs)
Last Updated
Jun 16, 2010

Practice Information

Address
5999 W STATE ST
BOISE, ID, 837035059
Browse ID providers · Browse ZIP 83703
Phone
2088535095
Fax
2088535125
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.