NPI 1528686151 · live from the CMS NPI Registry
Taylor Autumn Andoe, LMSW
Social Worker, Clinical in Pryor, OK. National Provider Identifier 1528686151, active.
NPI record
| NPI | 1528686151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 109 N Fairland St, Pryor, OK 74361 |
| Practice phone | 918-825-1405 |
| Enumerated | July 9, 2020 |
| Last updated | August 17, 2021 |
| Sole proprietor | No |
| Other names | Taylor Cluck |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.