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1164202776
ROBERT DOUGLAS TAYLOR
PORTSMOUTH, VA
NPI
1164202776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710103826)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
Mr. ROBERT DOUGLAS TAYLOR CSAC
104 HOLCOMB ROAD
PORTSMOUTH, VA 23708-0000
Phone number: 757-953-4903
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Mailing Address
Mr. ROBERT DOUGLAS TAYLOR CSAC
2219 SHIPS XING
CHESAPEAKE, VA 23323-4028
Phone number: 757-582-6535
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