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1508632779
TAYLOR BLAKE EDWARDS
DAYTON, TX
NPI
1508632779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 16715)
Enumeration Date
2023-11-29
Last Update Date
2023-12-27
Business Address
TAYLOR BLAKE EDWARDS LCDC
904 FM 686
DAYTON, TX 77535-2299
Phone number: 936-257-8584
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Mailing Address
TAYLOR BLAKE EDWARDS LCDC
3306 ABBEY FIELD LN
PORTER, TX 77365-8514
Phone number: 903-754-3457
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