Individual
TAYLOR BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 SCIENCE DR STE 300, MADISON, WI 53711-1064
(608) 236-4460
Mailing address
8440 MARKET ST APT 223, MIDDLETON, WI 53562-4778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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