Individual
MR. JOHN T TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CAC I
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 536-4900
(803) 536-4980
Mailing address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 536-4900
(803) 536-4980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007148
SC
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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