Individual
TAYLOR RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 LAKE AVE, WORCESTER, MA 01604-1188
(617) 839-8784
Mailing address
130 LAKE AVE, WORCESTER, MA 01604-1188
(617) 839-8784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22680
MA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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