NPI 1114117009

Tina Taylor

Practitioner Clinical Social Worker Evanston, WY

Practice location

Address: 184 Seminole Dr, Evanston, WY 82930-6600
Phone: (307) 679-1822

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-423 (WY)

Other Social Worker providers in Wyoming →

Registry record

NPI: 1114117009
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2007
Record last updated: 27 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.