Taylor Sallis

NPI #1215542402 in Fairview Heights, Illinois

Provider Information

NPI Number: 1215542402
Entity Type: Individual
Name: Taylor Sallis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 14, 2020
Last Updated: Sep 14, 2020

Practice Location

Address: 245 WINCHESTER PL
City: Fairview Heights
State: Illinois
ZIP Code: 62208-3837
Phone: (314) 322-0226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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