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Individual
TAYLOR M GULLEY
Active
Individual
TAYLOR M GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20636
NC
1041C0700X
Clinical Social Worker
Primary
C010902
NC
1041C0700X
Clinical Social Worker
P009655
NC
Other
Enumeration date
06/01/2015
Last updated
08/16/2017
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