Individual
ANGELA MARIE TAYLOR
Active
Individual
ANGELA MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW005573
GA
1041C0700X
Clinical Social Worker
Primary
CSW005636
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW005636
STATE LICENSE
GA
Enumeration date
06/12/2014
Last updated
11/30/2016
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