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Individual

MATTHEW TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1124 EVERGREEN WAY, STOCKBRIDGE, GA 30281-6237
(678) 468-6712
Mailing address
1124 EVERGREEN WAY, STOCKBRIDGE, GA 30281-6237
(678) 468-6712

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005944
GA

Other

Enumeration date
04/21/2017
Last updated
04/21/2017
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