Individual
TAYLOR DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 SECOND ST, PITTSFIELD, MA 01201
(413) 770-8951
Mailing address
251 FENN ST, PITTSFIELD, MA 01201-5269
(413) 770-8951
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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