Individual
TAYLOR RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11362 COUNTRY CLUB RD, LAWRENCEVILLE, IL 62439-4325
(618) 943-3302
Mailing address
11362 COUNTRY CLUB RD, LAWRENCEVILLE, IL 62439-4325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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