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1851774913
WADE TAYLOR
VENICE, CA
NPI
1851774913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
-- WADE TAYLOR CADC-CAS
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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Mailing Address
-- WADE TAYLOR CADC-CAS
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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