Individual
MR. ALLEN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
600 HARRISON AVE, RIVERHEAD, NY 11901-2741
(631) 369-6762
Mailing address
600 HARRISON AVE, RIVERHEAD, NY 11901-2741
(631) 369-6762
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
72068343
NY
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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