Individual
CARLOS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3908 SW PECAN PL, LAWTON, OK 73505-7511
(580) 458-8471
Mailing address
3908 SW PECAN PL, LAWTON, OK 73505-7511
(580) 458-8471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7731
OK
Other
Enumeration date
06/24/2013
Last updated
02/19/2021
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