Tiffany Lillian Kellems, CDA

NPI #1326311234 in Ash Flat, Arkansas

Provider Information

NPI Number
1326311234
Entity Type
Individual
Name
Tiffany Lillian Kellems, CDA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training/Habilitation Specialist
Credential
CDA
Enumeration Date
Feb 23, 2012
Last Updated
Feb 23, 2012

Practice Location

Address
47 AGNOS RD
ZIP Code
72513-9778
Phone
(870) 994-3103

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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