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Individual

TRACY DELORES TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
40353 MOUNT VERNON DR, STERLING HEIGHTS, MI 48313-5341
(248) 275-8852
Mailing address
43401 HILLSBORO DR, CLINTON TOWNSHIP, MI 48038-1333
(248) 275-8852

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451018630
MI

Other

Enumeration date
05/28/2021
Last updated
12/29/2023
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