Individual
KALILA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 PRINCE WILLIAM PKWY STE 301, WOODBRIDGE, VA 22192-7667
(703) 688-8541
Mailing address
1005 DURBIN PARKE DR, JACKSONVILLE, FL 32259-4264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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