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Individual

MS. KATHLEEN MARIE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW

Contact information

Practice address
5980 S MAIN ST STE 101, CLARKSTON, MI 48346-2377
(248) 625-2970
Mailing address
26480 BERG RD APT 1220, SOUTHFIELD, MI 48033-8615
(580) 656-5872

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118549
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16286277
CAQH
01
TAYLORK1968
CHAMPS
Enumeration date
08/07/2024
Last updated
08/21/2024
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