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1164142568
ADAM JOHN TAYLOR
CANNON AFB, NM
NPI
1164142568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P015219)
Enumeration Date
2022-08-29
Last Update Date
2023-09-07
Business Address
ADAM JOHN TAYLOR LCSW
224 D. L. INGRAM AVE BLDG. 1408
CANNON AFB, NM 88101
Phone number: 575-748-1108
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Mailing Address
ADAM JOHN TAYLOR LCSW
2210 W UNIVERSITY DR
PORTALES, NM 88130-9345
Phone number: 410-336-6458
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