Taylor Thompson

NPI #1255059002 in Vidalia, Georgia

Provider Information

NPI Number: 1255059002
Entity Type: Individual
Name: Taylor Thompson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 18, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 304 ARLINGTON DR
City: Vidalia
State: Georgia
ZIP Code: 30474-8935
Phone: (912) 537-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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