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Individual

ELIZABETH TAYLOR-CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
(601) 956-4817
Mailing address
1212 HUNTCLIFF WAY, CLINTON, MS 39056-3468

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YM0800X
LA
Enumeration date
01/14/2020
Last updated
04/28/2025
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