Individual
MICAH DICKSON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 867-6000
Mailing address
817 YAKIMA WAY, MURFREESBORO, TN 37130-0740
(601) 946-8787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6323
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C6323
—
MS
Enumeration date
02/21/2019
Last updated
02/21/2019
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