Individual
KELLY S TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 SUMNER RD N, SUMNER, GA 31789-4232
(229) 326-3427
Mailing address
3104 SUMNER RD N, SUMNER, GA 31789-4232
(229) 326-3427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014922
GA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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