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1437681996
ROBERT CHARLES TAYLOR
CHAMPAIGN, IL
NPI
1437681996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149016732)
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- ROBERT CHARLES TAYLOR LCSW
1723 GEORGETOWN DR
CHAMPAIGN, IL 61821-5519
Phone number: 217-607-1239
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Mailing Address
-- ROBERT CHARLES TAYLOR LCSW
1723 GEORGETOWN DR
CHAMPAIGN, IL 61821-5519
Phone number: 217-607-1239
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