TIMOTHY JOSEPH TAYLOR

PROVIDENCE, RI
NPI1659796027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00570)
Enumeration Date2014-02-21
Last Update Date2014-02-21
Business Address
-- TIMOTHY JOSEPH TAYLOR L.C.D.P.
188 ACADEMY AVE
PROVIDENCE, RI 02908-4452
Phone number: 401-383-5811
Mailing Address
-- TIMOTHY JOSEPH TAYLOR L.C.D.P.
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-383-5811
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