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Individual
CHANIECE TAYLOR
Active
Individual
CHANIECE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801116698
MI
1041C0700X
Clinical Social Worker
0904019683
VA
1041C0700X
Clinical Social Worker
Primary
17229
SC
1041C0700X
Clinical Social Worker
6801116698
MI
1041C0700X
Clinical Social Worker
LC25128
ME
Other
Enumeration date
02/04/2021
Last updated
09/01/2026
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