KEITH ANTHONY TAYLOR

DIAMOND SPRINGS, CA
NPI1760606446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2007-04-12
Last Update Date2023-06-28
Business Address
KEITH ANTHONY TAYLOR
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6245
Mailing Address
KEITH ANTHONY TAYLOR
1028 SIERRA BLVD # 1
SOUTH LAKE TAHOE, CA 96150-2900
Phone number: 530-573-7800
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