Individual
JAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
84 MARGINAL WAY STE 700, PORTLAND, ME 04101-2481
(207) 347-2674
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS20905
ME
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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