Individual
KESIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 SUPERIOR AVE, CALUMET CITY, IL 60409-3439
(708) 868-7926
(708) 868-7671
Mailing address
2101 ARTHUR ST, GARY, IN 46404-3062
(219) 356-1902
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2054062
IL
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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