Individual
MR. TAYLOR NORMAN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9458 W FAIRVIEW AVE STE J, BOISE, ID 83704-9785
(208) 713-3260
Mailing address
9458 W FAIRVIEW AVE STE J, BOISE, ID 83704-9785
(208) 713-3260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1287
ID
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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