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Individual
TAYLER A BRUDER
Active
Individual
TAYLER A BRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA, QMHP, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
A17888
OR
324500000X
Substance Abuse Rehabilitation Facility
—
OR
Other
Enumeration date
08/27/2019
Last updated
04/20/2026
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