Provider Information for 1851753644
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Mr. CRAIG TAFFARO Jr. LPC
Sex: Male
NPI: 1851753644
Last Updated: 2016-03-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1851753644 | ||||||||
| Enumeration Date | 2016-03-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3225 COULON DR MERAUX, LA 70075-2594 United States Phone: 504-401-3654 | Fax: | ||||||||
| Primary Practice Address | 3225 COULON DR MERAUX, LA 70075-2594 United States Phone: 504-401-3654 | Fax: | ||||||||
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