Individual
SARA TAILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4337 SKYMIST TER, OLNEY, MD 20832-2823
(301) 787-3771
Mailing address
4337 SKYMIST TER, OLNEY, MD 20832-2823
(301) 787-3771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC16695
MD
101Y00000X
Counselor
PC013662
PA
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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