Individual
MS. TIA STRAWDER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E ANGELLE ST STE N4, CARENCRO, LA 70520-5900
(337) 212-6599
Mailing address
110 E MARTIAL AVE APT 2121, LAFAYETTE, LA 70508-6969
(337) 212-6599
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/15/2025
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