Individual
MARIAH MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MSW
Contact information
Practice address
266 6TH AVE SW, EPHRATA, WA 98823-2053
(509) 906-4333
Mailing address
266 6TH AVE SW, EPHRATA, WA 98823-2053
(509) 906-4333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61156635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW61156635
LICSW WA DOL LICENSE
WA
Enumeration date
05/19/2022
Last updated
05/19/2022
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