Individual
LILA SHAE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 BUTTERMILK LN, ARCATA, CA 95521-6909
(707) 822-0351
Mailing address
1435 BUTTERMILK LN, ARCATA, CA 95521-6909
(707) 822-0351
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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