Most Relevant Information
Provider Data
| NPI Number: | 1003638412 |
| Provider Name: | TAYLOR WILLARD LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 34011492A |
Most Important Dates
| Enumeration Date: | 10/28/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
7409 EAGLE CREST BLVD
EVANSVILLE
IN
477159136
Practice Location Phone/Fax
| Phone: | 8124269779 |
| Fax: |
Provider Mailing Location
7409 EAGLE CREST BLVD
EVANSVILLE
IN
477159136
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |