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1871252676
TAYLOR WISOWATY
CHICAGO, IL
NPI
1871252676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178017514)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
TAYLOR WISOWATY
3660 N LAKE SHORE DR STE 201
CHICAGO, IL 60613-5302
Phone number: 773-759-5126
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Mailing Address
TAYLOR WISOWATY
3660 N LAKE SHORE DR STE 201
CHICAGO, IL 60613-5302
Phone number: 773-759-5126
Copy
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