Taylor Traster
Social Worker, Clinical in Monroe, MI. Individual provider (NPI-1).
NPI number1104515519
StatusActive
Last updated in NPPESMay 2, 2023
Details
- NPI
- 1104515519
- Entity type
- Individual (NPI-1)
- Name
- Taylor Traster
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2023
- Certification date
- May 2, 2023
- Last updated
- May 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1001 S Raisinville RdMonroe, MI 48161-9754
Phone 734-384-0412
Mailing address
1001 S Raisinville RdMonroe, MI 48161-9754
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