Individual
TAYLOR WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3 KEANU LN, ESKO, MN 55733
(651) 470-8247
Mailing address
3 KEANU LN, ESKO, MN 55733
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23127
MN
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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