Individual
SHELLY ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9239 W CENTER RD, OMAHA, NE 68124-1933
(402) 354-8000
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1635
NE
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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