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Individual

ANDRE CARDRELL TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
15 FREDERICK AVE, AKRON, OH 44310-2904
(330) 996-7730
Mailing address
1251 WEATHERVANE LN APT 3A, AKRON, OH 44313-5167
(440) 541-2161

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166211
OH

Other

Enumeration date
04/24/2018
Last updated
04/24/2018
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