Taylor Waller

NPI #1215437876 in Champaign, Illinois

Provider Information

NPI Number: 1215437876
Entity Type: Individual
Name: Taylor Waller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 20, 2018
Last Updated: Feb 20, 2018

Practice Location

Address: 1801 FOX DR
City: Champaign
State: Illinois
ZIP Code: 61820-7236
Phone: (217) 398-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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