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Individual

PAUL TALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
6133 ROCKSIDE RD, #207 ROCKSIDE SQUARE 2, INDEPENDENCE, OH 44131
(216) 520-5969
(216) 520-5098
Mailing address
6133 ROCKSIDE RD, #207 ROCKSIDE SQUARE 2, INDEPENDENCE, OH 44131
(216) 520-5969
(216) 520-5098

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0001197
OH

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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