Individual
MRS. TAYLOR ANN MIZUNO-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
67 E MADISON ST STE 1603A, CHICAGO, IL 60603-3095
(847) 372-1593
Mailing address
403 SHERMAN AVE APT 3, EVANSTON, IL 60202-6100
(310) 433-4279
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
08/03/2023
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