Individual
HEIDI H TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401
(410) 222-5321
Mailing address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09592
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417277567
—
MD
Enumeration date
06/10/2010
Last updated
12/20/2018
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