Individual
TAYLOR WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
538 BROADWAY, WINNIE, TX 77665-7600
(409) 296-6000
Mailing address
538 BROADWAY, WINNIE, TX 77665-7600
(409) 296-6000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112060
TX
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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