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Individual

PARIS TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(073) 523-3639
Mailing address
10630 LITTLE PATUXENT PKWY STE 314J, COLUMBIA, MD 21044-6216
(443) 766-2269
(443) 319-1127

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23374
MD
104100000X
Social Worker
23374
MD
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/26/2018
Last updated
08/22/2023
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