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Individual
MR. RICHARD LEE TAYLOR
Active
Individual
MR. RICHARD LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LDC0000000490
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
0987T
GA
101YP2500X
Professional Counselor
2241
GA
Other
Enumeration date
02/28/2007
Last updated
09/26/2008
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