Individual
KAMERON KEYSHAWN MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-2572
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
256588
KY
1041C0700X
Clinical Social Worker
Primary
259299
KY
Other
Enumeration date
12/22/2021
Last updated
06/26/2024
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