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Individual

MS. TAYLOR BREEDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
900 BEASLEY ST, STE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Mailing address
900 BEASLEY ST, STE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3464
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100282580
KY
Enumeration date
08/04/2011
Last updated
11/19/2016
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