Individual
RALPH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8916 WOODHALL LAKE DR, WAXHAW, NC 28173-6800
(704) 968-0345
Mailing address
8916 WOODHALL LAKE DR, WAXHAW, NC 28173-6800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10603
NC
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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