Most Relevant Information
Provider Data
| NPI Number: | 1003430356 |
| Provider Name: | KEINA TIRRELL LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | Q1-0001806 |
Most Important Dates
| Enumeration Date: | 06/02/2020 |
| Last Updated: | 06/02/2020 |
Provider Practice Location
29611 SAWYER LOOP
MILLSBORO
DE
199661310
Practice Location Phone/Fax
| Phone: | 3028583835 |
| Fax: |
Provider Mailing Location
29611 SAWYER LOOP
MILLSBORO
DE
199661310
Provider Mailing Phone/Fax
| Phone: | 3028583835 |
| Fax: |