Individual
MS. MICHELLE LATRECE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5411 JACKSON ST, HOUSTON, TX 77004-5928
(713) 334-4134
(713) 520-0552
Mailing address
5411 JACKSON ST, HOUSTON, TX 77004-5928
(713) 334-4134
(713) 520-0552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
52428
TX
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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