Individual
ALLEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024040138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582300
—
IA
Enumeration date
08/05/2021
Last updated
10/04/2024
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