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NPI Code Detail

MEDICARE: NICOLE TAYLOR CSW

MEDICARE: NICOLE TAYLOR CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker256434KY

General Provider Information

NPI Number : 1235971268
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE TAYLOR CSW
Provider Business Mailing Address
First Line : 1326 W 9TH ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-2028
Country : US
Telephone Number : 270-312-3633
Fax Number : 270-542-2154
Provider Business Practice Location Address
First Line : 1326 W 9TH ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-2028
Country : US
Telephone Number : 270-312-3633
Fax Number : 270-542-2154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 06/11/2024

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Directions to “ NICOLE TAYLOR CSW” Practice Location

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