Provider Information for 1841496072
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Mrs. AIMEE TAYLOR SEVERE MFT
Sex: Female
NPI: 1841496072
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1841496072 | ||||||||
Enumeration Date | 2007-06-25 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 3420 KENYON ST SAN DIEGO, CA 92110-5001 United States Phone: 619-221-6178 | Fax:619-221-6565 | ||||||||
Primary Practice Address | 3420 KENYON ST SAN DIEGO, CA 92110-5001 United States Phone: 619-221-6178 | Fax:619-221-6565 | ||||||||
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