Provider Information for 1255987525
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TAYLOR LYNN ENDICOTT LISW
Sex: Female
NPI: 1255987525
Last Updated: 2024-12-27
Certification Date: 2024-12-27
Certification Date: 2024-12-27
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1255987525 | ||||||||||||||||
| Enumeration Date | 2019-08-13 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 714 LINCOLNSHIRE LN FINDLAY, OH 45840-6829 United States Phone: 740-262-9567 | Fax: | ||||||||||||||||
| Primary Practice Address | 1941 CARLIN ST FINDLAY, OH 45840-1460 United States Phone: 419-425-5050 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 3645 RIDGE MILL DR | ||||||||||||||||
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