Individual
AUTUMN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31055 M 60, LEONIDAS, MI 49066-9432
(269) 496-9055
Mailing address
31055 M 60, LEONIDAS, MI 49066-9432
(269) 496-9055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AS750378264
MI
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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