Individual
PATRICK MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2D MEDICAL GROUP 243 CURTISS ROAD, SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6600
Mailing address
2D MEDICAL GROUP 243 CURTISS ROAD, SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW-4876
HI
Other
Enumeration date
07/20/2018
Last updated
09/14/2023
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