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Individual

MRS. ELIZABETH P TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPC

Contact information

Practice address
1855 LAKELAND DR, SUITE P121, JACKSON, MS 39216-4913
(601) 209-4789
(866) 772-1223
Mailing address
1855 LAKELAND DR, SUITE P121, JACKSON, MS 39216-4913
(601) 209-4789
(866) 772-1223

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0738
MS

Other

Enumeration date
08/01/2007
Last updated
06/23/2014
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