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Individual
TAYLOR NICOLE MOORE
Active
Individual
TAYLOR NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-11007
NM
1041C0700X
Clinical Social Worker
Primary
CSW009438
GA
1041C0700X
Clinical Social Worker
SWB-2024-0306
NM
1041S0200X
School Social Worker
M-11007
NM
Other
Enumeration date
12/17/2019
Last updated
08/09/2026
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