Individual
MS. LORRE M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1912
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904006815
VA
1041C0700X
Clinical Social Worker
Primary
13056
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945026
—
VA
Enumeration date
11/12/2008
Last updated
09/15/2020
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