Individual
MISS TYESHA DANTRELL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1035 CALHOUN ST, NEW ORLEANS, LA 70118-5913
(504) 308-3501
Mailing address
2626 CANAL ST, SUITE 201, NEW ORLEANS, LA 70119-6410
(504) 525-2366
(504) 525-7525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9866
LA
1041C0700X
Clinical Social Worker
9866
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/09/2011
Last updated
02/23/2023
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