MISS Larissa E Taylor
NPI #1013503671 in Wilmington, Ohio
Provider Information
- NPI Number
- 1013503671
- Entity Type
- Individual
- Name
- MISS Larissa E Taylor
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 17, 2020
- Last Updated
- Dec 17, 2020
Practice Location
- Address
- 48 RANDOLPH ST
- City
- Wilmington
- State
- Ohio
- ZIP Code
- 45177-2731
- Phone
- (937) 481-5647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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