Most Relevant Information
Provider Data
| NPI Number: | 1003470196 |
| Provider Name: | TAYLOR MARIE GROGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2019 |
| Last Updated: | 04/24/2019 |
Provider Practice Location
1210 SW 136TH ST
BURIEN
WA
981661214
Practice Location Phone/Fax
| Phone: | 2062576600 |
| Fax: |
Provider Mailing Location
3104 N 8TH ST APT 9
TACOMA
WA
984066201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |