Individual
CRYSTAL RENNITA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 BURNETT ST, PROVIDENCE, RI 02907-2527
(401) 785-0050
Mailing address
90 MONTGOMERY ST, PAWTUCKET, RI 02860-2022
(401) 834-5247
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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