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Individual

CHANTANIQUE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CO 61224225

Contact information

Practice address
32200 MILITARY RD S APT N303, FEDERAL WAY, WA 98001-9659
(206) 304-2390
Mailing address
32200 MILITARY RD S APT N303, FEDERAL WAY, WA 98001-9659
(206) 304-2390

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61224225
WA

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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