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Individual

DAVID RAY TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LMSW

Contact information

Practice address
8299 SILVER CT, LAMBERTVILLE, MI 48144-8623
(734) 735-2080
Mailing address
8299 SILVER CT, LAMBERTVILLE, MI 48144-8623
(734) 735-2080

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
6401003958
MI
1041C0700X
Clinical Social Worker
6801018821
MI

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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