Individual
ELIZABETH TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3212C CAISSON WAY, DOVER, NJ 07801
(850) 319-1149
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4480
(850) 914-6281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
0904009260
VA
1041C0700X
Clinical Social Worker
Primary
44SC05783000
NJ
Other
Enumeration date
02/02/2007
Last updated
08/09/2018
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