Individual
DAVACHE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27555 DIEHL RD, WARRENVILLE, IL 60555-3849
(630) 355-6533
Mailing address
2200 CHERRY LN APT 316, LISLE, IL 60532-1183
(708) 335-7715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
16-25678
IL
235Z00000X
Speech-Language Pathologist
Primary
—
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/13/2018
Last updated
09/27/2022
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