Individual
MARILYN LOUSIE TAYLOR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
31581 GRATIOT AVE, ROSEVILLE, MI 48066-4528
(586) 783-4802
Mailing address
31581 GRATIOT AVE, ROSEVILLE, MI 48066-4528
(586) 783-4802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401016800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401016800
—
MI
Enumeration date
03/04/2020
Last updated
03/04/2020
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