Most Relevant Information
Provider Data
| NPI Number: | 1003075813 |
| Provider Name: | TANYA TAYLOR LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 41239 |
Most Important Dates
| Enumeration Date: | 06/06/2008 |
| Last Updated: | 01/17/2012 |
Provider Practice Location
1010 W JASPER DR
SUITE 9
KILLEEN
TX
765421331
Practice Location Phone/Fax
| Phone: | 2545191144 |
| Fax: |
Provider Mailing Location
1010 W JASPER DR
SUITE 9
KILLEEN
TX
765421331
Provider Mailing Phone/Fax
| Phone: | 2545191144 |
| Fax: |