MATTHEW LUCKY TAYLOR

NEW YORK, NY
NPI1952799728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  22652)
Enumeration Date2015-01-02
Last Update Date2015-01-26
Business Address
-- MATTHEW LUCKY TAYLOR CASAC-T
177 E 122ND ST
NEW YORK, NY 10035-2906
Phone number: 212-360-7116
Mailing Address
-- MATTHEW LUCKY TAYLOR CASAC-T
177 E 122ND ST
NEW YORK, NY 10035-2906
Phone number: 212-360-7116
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