Individual
DAPHNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
Mailing address
11645 BEACONSFIELD ST, DETROIT, MI 48224-1134
(313) 918-9653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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