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NPI Code Detail

MEDICARE: PAIGE GABRIELLE TAYLOR LCSW

MEDICARE: PAIGE GABRIELLE TAYLOR LCSW
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 Worker254830KY

General Provider Information

NPI Number : 1598389959
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE GABRIELLE TAYLOR LCSW
Provider Business Mailing Address
First Line : 2823 FRANKFORT AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-2639
Country : US
Telephone Number : 502-893-0241
Fax Number : 502-212-1289
Provider Business Practice Location Address
First Line : 2823 FRANKFORT AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-2639
Country : US
Telephone Number : 502-893-0241
Fax Number : 502-212-1289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2020
Last Update Date : 06/02/2020

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Directions to “ PAIGE GABRIELLE TAYLOR LCSW” Practice Location

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