Individual
BLAIRE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 SEAGATE AVE APT 126, NEPTUNE BEACH, FL 32266-3518
(816) 805-4933
Mailing address
1100 SEAGATE AVE APT 126, NEPTUNE BEACH, FL 32266-3518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/15/2012
Last updated
04/10/2014
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