Individual
ANDREYA MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Contact information
Practice address
130 4TH AVE APT 4, HAVRE, MT 59501-3661
(409) 350-8973
Mailing address
201A S TOWNVILLE ST, SENECA, SC 29678-3421
(409) 350-8973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13584
SC
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-39111
MT
Other
Enumeration date
05/10/2020
Last updated
06/26/2020
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