Individual
MS. ALICE R TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 S MAIN ST, SUITE 1004, LOCKHART, TX 78644-3945
(512) 995-1777
Mailing address
PO BOX 801, LOCKHART, TX 78644-0801
(512) 995-1777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63314
TX
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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