Individual
SANDRA J TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
650 MAIN STREET, SUITE 103, SOUTH PORTLAND, ME 04106
(207) 774-4564
(207) 774-0006
Mailing address
1 SEACLIFF AVENUE, UNIT 7A, OLD ORCHARD BEACH, ME 04064
(207) 730-2647
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC2706
ME
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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