Individual
ANGELA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 DITSON ST, DORCHESTER, MA 02122-1426
(617) 892-7907
(866) 770-4430
Mailing address
11 DITSON ST, DORCHESTER, MA 02122-1426
(617) 892-7907
(866) 770-4430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S78321392
MA
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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