Individual
QUAYSHAWN DEONTE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 210-5607
Mailing address
6714 E 10TH ST N, WICHITA, KS 67206-1328
(316) 210-5607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12720-T
KS
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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