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Individual

MR. HAROLD WAYNE TAYLOR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS MFT

Contact information

Practice address
814 W B ST, RUSSELLVILLE, AR 72801-3610
(479) 858-7111
Mailing address
814 W B ST, RUSSELLVILLE, AR 72801-3610
(479) 858-7111

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2003029
AR
106H00000X
Marriage & Family Therapist
M2003002
AR

Other

Enumeration date
03/02/2020
Last updated
03/23/2020
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