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Individual

ELSE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5925
(507) 535-5799
Mailing address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5925
(507) 535-5799

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300910
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275055400
MN
Enumeration date
06/17/2015
Last updated
06/17/2015
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