Individual
JASMINE NICKOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
372 GREENO RD S, FAIRHOPE, AL 36532-1916
(251) 928-2871
(251) 928-0126
Mailing address
372 GREENO RD S, FAIRHOPE, AL 36532-1916
(251) 928-2871
(251) 928-0126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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