Individual
DIANE ELAINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 224-4646
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 224-4646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0005125
OH
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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