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1649991670
DEIDRA TAYLOR
ATLANTA, GA
NPI
1649991670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171400000X
Additional Taxonomies
251S00000X Community/Behavioral Health
Enumeration Date
2022-09-08
Last Update Date
2023-09-02
Business Address
DEIDRA TAYLOR
3715 NORTHSIDE PKWY NW BLDG. 100 - SUITE 500
ATLANTA, GA 30327
Phone number: 470-289-6838
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Mailing Address
DEIDRA TAYLOR
3715 NORTHSIDE PKWY NW BLDG. 100 - SUITE 500
ATLANTA, GA 30327
Phone number: 470-289-6838
Copy