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Individual

MS. ELAINE RENEE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.A.S.A.C.-T.

Contact information

Practice address
3176 51ST ST, APT #6D, WOODSIDE, NY 11377-1329
(347) 256-1773
Mailing address
3176 51ST ST, APT #6D, WOODSIDE, NY 11377-1329
(347) 256-1773

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-21785-T
NY

Other

Enumeration date
01/18/2008
Last updated
01/18/2008
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