Individual
MRS. DEBORAH LOUISE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW, DCSW
Contact information
Practice address
3225 HEDLEY RD, SPRINGFIELD, IL 62711-6248
(217) 726-6700
Mailing address
8220 HUNT RD, SPRINGFIELD, IL 62712-8606
(217) 529-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6041269
CHAMPUS
—
Enumeration date
01/13/2007
Last updated
07/08/2007
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