Individual
JESSICA ALEXIS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
641 SCHOLL RD., MANSFIELD, OH 44907
(419) 774-2258
Mailing address
641 SCHOLL RD., MANSFIELD, OH 44907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S0901010
OH
Other
Enumeration date
06/25/2013
Last updated
07/01/2013
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