Individual
TAALOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
610 E BASELINE RD STE 5, PHOENIX, AZ 85042-6536
(602) 230-7373
(602) 441-5836
Mailing address
3101 N CENTRAL AVE STE 500, PHOENIX, AZ 85012-2639
(602) 329-8250
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-17307
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-21721
AZ
Other
Enumeration date
05/31/2022
Last updated
09/11/2023
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