MR. Jared M. Taylor, LCSW

NPI #1023103926 in Logan, Utah

Provider Information

NPI Number: 1023103926
Entity Type: Individual
Name: MR. Jared M. Taylor, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 4, 2006
Last Updated: Apr 16, 2008

Practice Location

Address: 175 W 1400 N
Address 2: SUITE A
City: Logan
State: Utah
ZIP Code: 84341-6811
Phone: (435) 752-5302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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