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Organization
LAMONT T BROWN TAYLOR
Active
Organization
LAMONT T BROWN TAYLOR
Active
Other names
Full Advocate BHS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMONT THEOLONUS TAYLOR DSW (LICENSE CLINICAL SOCIAL WORKER)
(773) 509-5055
Entity
Organization
Contact information
Practice address
10540 S WESTERN AVE, SUITE 402, CHICAGO, IL 60643-2529
(773) 509-5055
(773) 509-5010
Mailing address
PO BOX 490645, CHICAGO, IL 60649-0645
(773) 509-5055
(773) 509-5010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
149-011481
IL
101YM0800X
Mental Health Counselor
149-011481
IL
104100000X
Social Worker
149-011481
IL
1041C0700X
Clinical Social Worker
Primary
149-011481
IL
Other
Enumeration date
12/24/2007
Last updated
10/28/2016
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