Individual
MS. AJA ANTREA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CITIZENS BLVD STE 300, LEESBURG, FL 34748-3973
(352) 323-0612
(352) 787-2386
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(352) 323-0612
(352) 787-2386
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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