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MR. ANTONIO DEON TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3380 WALNUT GROVE RD, SPARTA, TN 38583-5365
(931) 372-7117
(931) 372-7119
Mailing address
3380 WALNUT GROVE RD, SPARTA, TN 38583-5365
(931) 372-7117
(931) 372-7118

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
4020
TN

Other

Enumeration date
03/27/2012
Last updated
07/28/2023
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