Individual
MR. BRANDON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10721 W CAPITOL DR STE 210, WAUWATOSA, WI 53222-1210
(414) 988-3079
Mailing address
10721 W CAPITOL DR STE 210, WAUWATOSA, WI 53222-1210
(414) 988-3079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19183-130
WI
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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