Individual
MRS. TIFFANY PATRICE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L2346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2346
LICENSE NUMBER
MD
Enumeration date
10/02/2008
Last updated
10/02/2008
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