Individual
BRANDY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
1628 SPRINGFIELD ST, DAYTON, OH 45403-1430
(937) 802-5440
Mailing address
4930 KOLMAR AVE, DAYTON, OH 45432-3127
(937) 715-2185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162555
OH
1041C0700X
Clinical Social Worker
Primary
I.2304983
OH
Other
Enumeration date
09/24/2018
Last updated
12/27/2023
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