Taylor Tenaglia

NPI #1700519436 in Revere, Massachusetts

Provider Information

NPI Number: 1700519436
Entity Type: Individual
Name: Taylor Tenaglia
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 9, 2022
Last Updated: Jul 9, 2022

Practice Location

Address: 62 KINGMAN AVE
City: Revere
State: Massachusetts
ZIP Code: 02151-2323
Phone: (617) 771-9166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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