Individual
MARDAJAH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23701 MILES RD, CLEVELAND, OH 44128-5473
(216) 763-0800
(216) 763-0810
Mailing address
23701 MILES RD, CLEVELAND, OH 44128-5473
(216) 763-0800
(216) 763-0810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250965460
—
OH
Enumeration date
04/06/2021
Last updated
04/06/2021
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