Individual
JAMILLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
5170 E 65TH ST STE 106, INDIANAPOLIS, IN 46220-4992
(317) 986-6755
Mailing address
5170 E 65TH ST STE 106, INDIANAPOLIS, IN 46220-4992
(317) 525-3211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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