Individual
GWENDOLYN SHAUDRE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4484 KELLYBROOK DR, CONCORD, NC 28025-7055
(912) 281-9723
Mailing address
4484 KELLYBROOK DR, CONCORD, NC 28025-7055
(912) 281-9723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P015228
NC
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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