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Individual

ALEXANDRA TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
32060 LONG NECK RD, MILLSBORO, DE 19966-6228
(302) 645-3150
Mailing address
20623 ALBERMARLE LN, MILLSBORO, DE 19966-7563
(973) 879-6305

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
Q1-0001667
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q1-0001667
DELAWARE STATE LICENSE
DE
Enumeration date
02/28/2019
Last updated
05/22/2020
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