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Individual
MS. MADISON TAYLOR SMITH
Active
Individual
MS. MADISON TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC12486
SC
1041C0700X
Clinical Social Worker
Primary
16779
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
11/01/2023
Last updated
08/23/2024
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