Individual
MARK W. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1114 ELLEN AVE, MADISON, WI 53716-1535
(608) 223-9807
Mailing address
1114 ELLEN AVE, MADISON, WI 53716-1535
(608) 223-9807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
358
WI
Other
Enumeration date
11/11/2008
Last updated
07/01/2022
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