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Individual

WILLIAM OCIE TAYLOR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC CCDP CADAC II

Contact information

Practice address
535 E 38TH ST, INDIANAPOLIS, IN 46205-2767
(317) 921-3937
Mailing address
10334 E 21ST PL, INDIANAPOLIS, IN 46229-2105
(317) 894-1045

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000017A
IN

Other

Enumeration date
03/21/2024
Last updated
03/21/2024
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