Individual
KEINA TIRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29611 SAWYER LOOP, MILLSBORO, DE 19966-1310
(302) 858-3835
Mailing address
29611 SAWYER LOOP, MILLSBORO, DE 19966-1310
(302) 858-3835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001806
DE
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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