TAYLOR RUSSELL

EVANSTON, IL
NPI1659731768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149017706)
Enumeration Date2016-03-02
Last Update Date2016-03-02
Business Address
-- TAYLOR RUSSELL LCSW
2049 RIDGE AVE
EVANSTON, IL 60201-2713
Phone number: 847-733-2276
Mailing Address
-- TAYLOR RUSSELL LCSW
2049 RIDGE AVE
EVANSTON, IL 60201-2713
Phone number: 847-733-2276
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