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MR. RONALD CRESWELL TAYLOR MA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1306932900

Individual Registrant:
MR. RONALD CRESWELL TAYLOR MA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
292 LAKE FIELD RD  WATERLOO, SC 29384-0292 US
Tel: 864-998-4146  Fax: --

Contact information for business:
292 LAKE FIELD RD  WATERLOO, SC 29384 US
Tel: 864-998-4146  Fax: --

Registration Information:
NPI: 1306932900
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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