BRANDON TAYLOR

WAUWATOSA, WI
NPI1164002044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19183-130)
Enumeration Date2021-04-13
Last Update Date2021-04-13
Business Address
Mr. BRANDON TAYLOR
10721 W CAPITOL DR STE 210
WAUWATOSA, WI 53222-1210
Phone number: 414-988-3079
Mailing Address
Mr. BRANDON TAYLOR
10721 W CAPITOL DR STE 210
WAUWATOSA, WI 53222-1210
Phone number: 414-988-3079
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