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Individual

DR. THOMAS WAYNE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D

Contact information

Practice address
1100 W HIGHWAY 8, CLEVELAND, MS 38732-2261
(662) 402-8395
(662) 846-4314
Mailing address
1100 W HIGHWAY 8, CLEVELAND, MS 38732-2261
(662) 402-8395
(662) 846-4314

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0164
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T0164
LICENSED MARIAGE & FAMILY
MS
Enumeration date
01/30/2008
Last updated
01/30/2008
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