Individual
REBECCA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4132 KEATON CROSSING BLVD STE 204, O FALLON, MO 63368-8223
(636) 789-1231
(636) 317-6002
Mailing address
4132 KEATON CROSSING BLVD STE 204, O FALLON, MO 63368-8223
(636) 789-1231
(636) 317-6002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012023338
MO
Other
Enumeration date
09/05/2012
Last updated
07/21/2022
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