Individual
ALEXIS KAELIN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12400 PORTLAND AVE STE 180, BURNSVILLE, MN 55337-6875
(952) 222-7704
Mailing address
330 S SECOND AVE SUITE 200 #1151, MINNEAPOLIS, MN 55401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29955
MN
Other
Enumeration date
08/30/2022
Last updated
06/27/2025
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