RUSSELL GUY TAYLOR

JACKSONVILLE, IL
NPI1942218219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071005225)
Enumeration Date2006-08-03
Last Update Date2007-07-09
Business Address
-- RUSSELL GUY TAYLOR PhD
557 N WESTGATE AVE
JACKSONVILLE, IL 62650-1156
Phone number: 217-245-7275
Mailing Address
-- RUSSELL GUY TAYLOR PhD
800 E CARPENTER ST PO BOX 1977
SPRINGFIELD, IL 62702-5324
Phone number: 217-544-6464
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