Individual
MISS TIARA KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 DUBLIN RD, SUITE 205 C, COLUMBUS, OH 43215-1000
(614) 437-9910
Mailing address
1855 E DUBLIN GRANVILLE RD STE 200, COLUMBUS, OH 43229-3516
(614) 267-7003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1901153
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.1500460-TRNE
OH
Other
Enumeration date
07/14/2015
Last updated
10/19/2020
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