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NPI Profile for TASHA J KELLY in ARNEGARD, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1972309086 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 02/20/2025 | |
| Last updated | 02/20/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TASHA J KELLY
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TASHA J KELLY, LAC