Individual
KIARRA TEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 4TH ST NE, WASHINGTON, DC 20002-1211
(202) 462-7500
Mailing address
612 46TH PL SE APT 32, WASHINGTON, DC 20019-7827
(202) 415-0858
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
DC
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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