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Individual

TAYLOR JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-3001
Mailing address
302 S ELMWOOD AVE, DAVENPORT, IA 52802-2127
(425) 786-4947

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/23/2022
Last updated
09/23/2022
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