Individual
KELLY LYNNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333120 E SHADY MEADOWS DR, WELLSTON, OK 74881-7101
(405) 248-8224
Mailing address
333120 E SHADY MEADOWS DR, WELLSTON, OK 74881-7101
(405) 248-8224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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