Individual
MS. CAROL JO TALIAFERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(314) 744-4100
Mailing address
1111 SOUTHCREEK DR, APT. 416, ROUND ROCK, TX 78664-7163
(512) 350-3851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36429
TX
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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