Individual
TAYLOR MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
(270) 442-7121
Mailing address
1484 ELVA RD, SYMSONIA, KY 42082-9533
(270) 703-2115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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