Most Relevant Information
Provider Data
| NPI Number: | 1003336793 |
| Provider Name: | TAYLOR JOHNSON MSW, LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P011406 |
Most Important Dates
| Enumeration Date: | 06/22/2017 |
| Last Updated: | 06/22/2017 |
Provider Practice Location
121 S QUEEN ST
KINSTON
NC
285014933
Practice Location Phone/Fax
| Phone: | 9198162712 |
| Fax: |
Provider Mailing Location
121 S QUEEN ST
KINSTON
NC
285014933
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |