Most Relevant Information
Provider Data
| NPI Number: | 1003309139 |
| Provider Name: | TAYLOR LEIGH STACY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | S1501240 |
Most Important Dates
| Enumeration Date: | 06/13/2018 |
| Last Updated: | 06/13/2018 |
Provider Practice Location
199 S CENTRAL AVE
COLUMBUS
OH
432231301
Practice Location Phone/Fax
| Phone: | 6142762273 |
| Fax: |
Provider Mailing Location
5830 STALLION DR
NEW ALBANY
OH
430548061
Provider Mailing Phone/Fax
| Phone: | 4196046378 |
| Fax: |