Most Relevant Information
Provider Data
| NPI Number: | 1003311531 |
| Provider Name: | TAYLOR JANDRIN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2018 |
| Last Updated: | 03/27/2018 |
Provider Practice Location
421 NEBRASKA ST
STURGEON BAY
WI
542352225
Practice Location Phone/Fax
| Phone: | 9207467155 |
| Fax: |
Provider Mailing Location
421 NEBRASKA ST
STURGEON BAY
WI
542352225
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |