MARK L TAYLOR

LA CROSSE, WI
NPI1003812157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  2882)
Enumeration Date2005-06-23
Last Update Date2007-07-08
Business Address
-- MARK L TAYLOR CADC
1910 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 608-775-2287
Mailing Address
-- MARK L TAYLOR CADC
1836 SOUTH AVE
LA CROSSE, WI 54601-5467
Phone number: 608-782-7300
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