Individual
KIERRA GENAE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18788 MARSH LN APT 1520, DALLAS, TX 75287-3549
(468) 987-3120
Mailing address
18788 MARSH LN APT 1520, DALLAS, TX 75287-3549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
28950783
TX
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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