Individual
MR. JARED M. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
175 W 1400 N, SUITE A, LOGAN, UT 84341-6811
(435) 752-5302
(435) 753-9007
Mailing address
PO BOX 557, MILLVILLE, UT 84326-0557
(435) 752-5302
(435) 753-9007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 6201971-3501
UT
Other
Enumeration date
10/04/2006
Last updated
04/16/2008
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