Individual
AMY K TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.140934
OH
104100000X
Social Worker
Primary
S.1701597
OH
Other
Enumeration date
04/07/2017
Last updated
10/18/2017
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