Individual
MRS. KEYONNA LESHAUN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
205 S 5TH ST, LEAVENWORTH, KS 66048-2602
(913) 240-1232
Mailing address
2002 4TH AVE, LEAVENWORTH, KS 66048-3839
(913) 240-1232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
646
KS
1041C0700X
Clinical Social Worker
Primary
4429
KS
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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