Jamie Taylor

NPI #1699178954 in La Salle, Illinois

Provider Information

NPI Number: 1699178954
Entity Type: Individual
Name: Jamie Taylor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 1, 2014
Last Updated: Oct 1, 2014

Practice Location

Address: 2960 CHARTRES ST
City: La Salle
State: Illinois
ZIP Code: 61301-1097
Phone: (815) 228-2042

Specialties & Taxonomy Codes

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

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