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Marguerite Mavourneen Taylor

Social Worker, Clinical in Jackson, MI. Individual provider (NPI-1).

NPI number1366086969
StatusActive
Last updated in NPPESNov 6, 2019

Details

NPI
1366086969
Entity type
Individual (NPI-1)
Name
Marguerite Mavourneen Taylor
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 6, 2019
Last updated
Nov 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

1200 N West Ave
Jackson, MI 49202-2179

Phone 517-789-1200

Mailing address

2786 Walden Woods Blvd
Jackson, MI 49201-8115

Phone 517-796-3887

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