# TIARRA KENNEDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083434997
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |
| 374J00000X | Doula | — | MD | — |

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 10/16/2024