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Individual

JOHN GLENN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MACC, LPC

Contact information

Practice address
1420 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19102-4017
(610) 644-6464
(610) 981-6078
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 981-6078

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007499
PA

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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