Individual
LEAH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 KENNEDY CT APT 12, TITUSVILLE, FL 32780-4060
(770) 500-7265
(321) 567-2776
Mailing address
1111 KENNEDY CT APT 12, TITUSVILLE, FL 32780-4060
(770) 500-7265
(321) 567-2776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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