Individual
MRS. JENNIFER LYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
Mailing address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
(360) 423-2311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00044643
WA
Other
Enumeration date
09/25/2008
Last updated
12/05/2008
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