Individual
MR. TAYLOR L JANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Mailing address
4811 W ST NW, WASHINGTON, DC 20007-1519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-07734
NM
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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