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Individual
TAISA MCCAIN
Active
Individual
TAISA MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BH001835
PA
101YP2500X
Professional Counselor
Primary
PC010874
PA
Other
Enumeration date
08/11/2016
Last updated
06/04/2020
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