Taylor Nicole Wallace
Taylor Nicole Wallace is a Clinical Social Worker in Gaithersburg, Maryland. Works from 2 locations. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
7104 Stratos LnGaithersburg, MD 20879-5425
Phone: (240) 672-4879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5044 Dorsey Hall Dr Ste 204, Ellicott City, MD 21042-7500 — (240) 672-4879
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1740946763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 14, 2021 |
| Last updated in NPPES | November 14, 2021 |
| Certification date | November 14, 2021 |
| Mailing address | 11870 Grand Park Ave Apt 1000, North Bethesda, MD 20852-8703 |
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