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Individual
MRS. JUSTINE CHASE TAYLOR
Active
Individual
MRS. JUSTINE CHASE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60134923
WA
104100000X
Social Worker
L5361
OR
1041C0700X
Clinical Social Worker
Primary
L5361
OR
Other
Enumeration date
09/12/2011
Last updated
12/09/2019
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