Individual
MISS DAWN ELIZABETH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
3027 MIDDLEBROOK RD, FAIRLEE, VT 05045-4411
(802) 333-3649
Mailing address
3027 MIDDLEBROOK RD, FAIRLEE, VT 05045-4411
(802) 333-3649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104017
VT
Other
Enumeration date
12/22/2010
Last updated
08/15/2024
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