Individual
MRS. SHANNA MICHELE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1258 WOODLAND DR, SOPERTON, GA 30457-3500
Mailing address
1258 WOODLAND DR, SOPERTON, GA 30457-3500
(478) 202-3206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008788
GA
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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