Shanda Lynette Boling-Taylor, MSW
Social Worker in Mount Vernon, IL. Individual provider (NPI-1).
NPI number1164091377
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1164091377
- Entity type
- Individual (NPI-1)
- Name
- Shanda Lynette Boling-Taylor
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
403 N 42nd St Ste CMount Vernon, IL 62864-2297
Phone 618-283-2222
Mailing address
1121 N 6th StVandalia, IL 62471-1219
Phone 618-283-2222
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Other Social Worker providers in Mount Vernon, IL
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All 10 Social Worker providers in Mount Vernon · All 834 providers in Mount Vernon
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