TAYLOR MALCOLM HARRIS

GREEN BAY, WI
NPI1962008060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-12-05
Last Update Date2020-12-05
Business Address
TAYLOR MALCOLM HARRIS
330 S BROADWAY
GREEN BAY, WI 54303-1518
Phone number: 920-470-2394
Mailing Address
TAYLOR MALCOLM HARRIS
330 S BROADWAY
GREEN BAY, WI 54303-1518
Phone number: 920-470-2394