Individual
FELICIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 SW BOSWELL AVE, TOPEKA, KS 66604-1424
(918) 575-1623
Mailing address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 729-9532
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720101439
ODMHSAS
OK
Enumeration date
10/05/2022
Last updated
10/05/2022
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