Tatiana Marie Kennedy

NPI #1922986199 in Caldwell, Idaho

Provider Information

NPI Number: 1922986199
Entity Type: Individual
Name: Tatiana Marie Kennedy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Aug 25, 2025
Last Updated: Aug 31, 2025

Practice Location

Address: 524 S 9TH AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-5075
Phone: (208) 454-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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