LARRY E TAYLOR

MEQUON, WI
NPI1154742880
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: WI  16901-130)
Enumeration Date2013-12-24
Last Update Date2013-12-24
Business Address
-- LARRY E TAYLOR
10532 N PORT WASHINGTON RD
MEQUON, WI 53092-5563
Phone number: 262-242-3810
Mailing Address
-- LARRY E TAYLOR
PO BOX 241141
MILWAUKEE, WI 53224-9027
Phone number:
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