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Individual

CHAD TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2831 POST RD STE 300, PLOVER, WI 54467-3415
(715) 600-2798
Mailing address
2831 POST RD STE 300, PLOVER, WI 54467-3415
(715) 600-2798

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7168-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100100131
WI
Enumeration date
12/17/2014
Last updated
11/15/2023
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