Individual
TYRA DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11110 BOARDWALK DR APT 28, BATON ROUGE, LA 70816-8394
(225) 266-0188
Mailing address
11110 BOARDWALK DR APT 28, BATON ROUGE, LA 70816-8394
(225) 266-0188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3806
LA
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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