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Individual
GWENDOLYN TAYLOR
Active
Individual
GWENDOLYN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18833
NY
101YP1600X
Pastoral Counselor
16556
NY
104100000X
Social Worker
Primary
125036
NY
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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