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1023103926
JARED M. TAYLOR
LOGAN, UT
NPI
1023103926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT LCSW 6201971-3501)
Enumeration Date
2006-10-04
Last Update Date
2008-04-16
Business Address
Mr. JARED M. TAYLOR LCSW
175 W 1400 N SUITE A
LOGAN, UT 84341-6811
Phone number: 435-752-5302
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Mailing Address
Mr. JARED M. TAYLOR LCSW
PO BOX 557
MILLVILLE, UT 84326-0557
Phone number: 435-752-5302
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