Individual
DEBRA CHARLENE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4663 CANVAS NETTIE RD, CANVAS, WV 26662-4114
(304) 872-0106
Mailing address
PO BOX 162, CANVAS, WV 26662-0162
(304) 651-6685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/12/2021
Last updated
04/11/2024
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