Taylor Norman Jensen LCSW

NPI 1205171550 - Social Worker - 1041C0700X

NPI Details
NPI 1205171550
Gender Male
Enumeration Date 11/27/2012
Last Updated 11/27/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9458 W FAIRVIEW AVE STE J
BOISE ID, 83704-9785, US
Phone (208) 713-3260
Fax
Business Location
9458 W FAIRVIEW AVE STE J
BOISE ID, 83704-9785, US
Phone (208) 713-3260
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW-1287
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According to our database, Mr. Taylor Norman Jensen LCSW NPI is 1205171550, taxonomy code is 1041C0700X and license number is LCSW-1287, license state is located at Idaho. Taylor Norman Jensen LCSW physically located at 9458 W Fairview Ave Ste J, Boise ID, 83704-9785. NPI Number Taylor Norman Jensen LCSW has the Individual type.

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1205171550 NPI number is provided on an as is basis without warranty of any kind. 1205171550 is maintained by the National Plan & Provider Enumeration System. The contents of Taylor Norman Jensen LCSW are for informational purposes only.