Individual
ERIC MATTHEW TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTERS, CMS, QMHS
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601
(740) 773-1141
Mailing address
376 COLVIN RD, WAVERLY, OH 45690-9273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
APP-00013880
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275589178
—
OH
Enumeration date
02/24/2018
Last updated
09/04/2018
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