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Individual

CAROLYN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 384-4121
Mailing address
14424 CARIBBEAN BREEZE DR UNIT 202, TAMPA, FL 33613-5391

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15042
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041C0700X
FL
Enumeration date
02/20/2018
Last updated
02/20/2018
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