JERRY TAYLOR

XENIA, OH
NPI1598954901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  021296)
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
-- JERRY TAYLOR CCDC 1
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
Mailing Address
-- JERRY TAYLOR CCDC 1
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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