DARREN L TAYLOR

RACINE, WI
NPI1043876451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  16157-132)
Enumeration Date2019-05-13
Last Update Date2019-05-13
Business Address
DARREN L TAYLOR CSAC
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6744
Mailing Address
DARREN L TAYLOR CSAC
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6744
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