Individual
DOROTHY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4TH MDG, 2803 MEDICAL CAMPUS DRIVE, SEYMORE JOHNSON AIR FORCE BASE, NC 27531
(919) 722-8775
Mailing address
4TH MDG, 2803 MEDICAL CAMPUS DRIVE, SEYMORE JOHNSON AIR FORCE BASE, NC 27531
(919) 722-8775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
C016903
NC
1041C0700X
Clinical Social Worker
CSW09928015
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C016903
LICENSE CLINICAL SOCIAL WORKER
NC
01
—
CSW09928015
LICENSE CLINICAL SOCIAL WORKER
CO
Enumeration date
09/15/2014
Last updated
02/28/2025
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