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NPI Code Detail

MEDICARE: YOLANDA TAYLOR LMSW

MEDICARE:   YOLANDA  TAYLOR  LMSW
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
1104100000XSocial Worker7450TN

General Provider Information

NPI Number : 1639941958
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA TAYLOR LMSW
Provider Business Mailing Address
First Line : 7679 CRYSTAL BROOK CV
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-8133
Country : US
Telephone Number : 901-495-0289
Fax Number :
Provider Business Practice Location Address
First Line : 7679 CRYSTAL BROOK CV
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-8133
Country : US
Telephone Number : 901-495-0289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2023
Last Update Date : 10/30/2023

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Directions to “ YOLANDA TAYLOR LMSW” Practice Location

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