Individual
DIANA TAYLOR LIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW C
Contact information
Practice address
6525 NORTH CHARLES STREET, SUITE 136 THE GIBSON BUILDING, TOWSON, MD 21204-6872
(443) 838-6075
(410) 869-0720
Mailing address
401 OAK CT, CATONSVILLE, MD 21228-5842
(410) 869-0720
(410) 869-0720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6171
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QQ39DT
CAREFIRST BC AND BS
MD
Enumeration date
08/29/2006
Last updated
09/30/2010
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