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1962261859
ROGER TAYLOR
POPLAR BLUFF, MO
NPI
1962261859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO 14313)
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
ROGER TAYLOR
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
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Mailing Address
ROGER TAYLOR
980 MONTCLAIR DR
POPLAR BLUFF, MO 63901-2153
Phone number: 573-686-1200
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