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Individual

DANIEL TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
3021 HOLMGREN WAY, GREEN BAY, WI 54304-6302
(715) 851-0205
Mailing address
N1625 KEIFER CT, GREENVILLE, WI 54942-9745
(715) 851-0205

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1119-228
WI

Other

Enumeration date
12/06/2024
Last updated
12/06/2024
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