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1205171550
TAYLOR NORMAN JENSEN
BOISE, ID
NPI
1205171550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-1287)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
Mr. TAYLOR NORMAN JENSEN LCSW
9458 W FAIRVIEW AVE STE J
BOISE, ID 83704-9785
Phone number: 208-713-3260
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Mailing Address
Mr. TAYLOR NORMAN JENSEN LCSW
9458 W FAIRVIEW AVE STE J
BOISE, ID 83704-9785
Phone number: 208-713-3260
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