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Individual
TIARRA KENNEDY
Active
Individual
TIARRA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
103TC1900X
Counseling Psychologist
—
NULL
1041C0700X
Clinical Social Worker
—
NULL
106H00000X
Marriage & Family Therapist
—
NULL
171000000X
Military Health Care Provider
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
173000000X
Legal Medicine
—
NULL
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—
374J00000X
Doula
—
MD
Other
Enumeration date
10/15/2024
Last updated
10/16/2024
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