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Individual
TAYLOR DISCH
Active
Individual
TAYLOR DISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910354514998
MEDICAL MUTUAL
OH
01
—
NONE
PRIVATE
—
Enumeration date
04/03/2019
Last updated
05/19/2022
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