Individual
NATHAN GABRIEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2019036322
MO
1041C0700X
Clinical Social Worker
Primary
2022024816
MO
Other
Enumeration date
10/15/2019
Last updated
08/01/2022
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