Individual
JUNE EDNA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
25507 ECORSE RD, TAYLOR, MI 48180-1555
(313) 292-7640
Mailing address
24641 RENSSELAER ST, OAK PARK, MI 48237-1717
(248) 495-0199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010278
MI
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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