Individual
EMILY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3891
(440) 233-7232
(440) 204-4315
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 204-4315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2411104
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10014910401
—
OH
Enumeration date
11/12/2021
Last updated
07/09/2024
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