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Individual
MS. MARY ELIZABETH TAYLOR
Active
Individual
MS. MARY ELIZABETH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW. LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC #187
CO
1041C0700X
Clinical Social Worker
Primary
991143
CO
Other
Enumeration date
05/17/2006
Last updated
11/19/2019
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