Individual
KENZIE TAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 W DIVISION ST, MANTENO, IL 60950-1065
(815) 432-5241
Mailing address
PO BOX 322, WATSEKA, IL 60970-0322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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