Individual
JOANNA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 VIRGINIA AVE N STE 1, TIFTON, GA 31794-4268
(229) 396-5507
(229) 396-5093
Mailing address
16245 VALDOSTA HWY, VALDOSTA, GA 31602-6066
(229) 740-5339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007908
GA
Other
Enumeration date
08/03/2020
Last updated
02/07/2022
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