Individual
MISS TANYA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
25 MORSE ST, RANDOLPH, MA 02368-2222
(781) 885-7258
Mailing address
25 MORSE ST, RANDOLPH, MA 02368-2222
(781) 885-7258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2155
MA
Other
Enumeration date
03/07/2007
Last updated
09/13/2013
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