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MRS. SHANNA MICHELE TAYLOR LMSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1033757547
Individual Registrant:MRS. SHANNA MICHELE TAYLOR LMSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1258 WOODLAND DR SOPERTON, GA 30457-3500 US
Tel: -- Fax: --
Tel: -- Fax: --
Contact information for business:
1258 WOODLAND DR SOPERTON, GA 30457-3500 US
Tel: 478-202-3206 Fax: --
Tel: 478-202-3206 Fax: --
Registration Information:
NPI: 1033757547
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | GA | MSW008788 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
