Individual
TAYLOR ASHLEY KRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 W BROADWAY STE 105, MONONA, WI 53713-3700
(414) 202-9146
Mailing address
7425 OLD SAUK RD UNIT 201, MADISON, WI 53717-1251
(847) 977-9512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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