Provider Information for 1063563484
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Mrs. DEBORAH LOUISE TAYLOR ACSW, LCSW, DCSW
Sex: Female
NPI: 1063563484
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1063563484 | ||||||||
| Enumeration Date | 2007-01-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8220 HUNT RD SPRINGFIELD, IL 62712-8606 United States Phone: 217-529-6100 | Fax: | ||||||||
| Primary Practice Address | 3225 HEDLEY RD SPRINGFIELD, IL 62711-6248 United States Phone: 217-726-6700 | Fax: | ||||||||
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