Individual
TAYLOR MARLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 CUMBERLAND AVE STE 225, WEST LAFAYETTE, IN 47906-1343
(866) 672-4764
Mailing address
2112 CENTRAL ST, LAFAYETTE, IN 47905-1653
(219) 964-7882
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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