Individual
MS. TAYLOR LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6895-M
AR
1041C0700X
Clinical Social Worker
Primary
6895-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194112795
—
AR
Enumeration date
01/21/2011
Last updated
04/22/2021
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