Taylor I Mimms

NPI #1912400367 in Salem, Massachusetts

Provider Information

NPI Number: 1912400367
Entity Type: Individual
Name: Taylor I Mimms
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 13, 2018
Last Updated: Mar 13, 2018

Practice Location

Address: 110 BOSTON ST
City: Salem
State: Massachusetts
ZIP Code: 01970-1402
Phone: (978) 744-7905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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