Individual
TAYLOR ELIZABETH WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
717 N EAST AVE, WAUKESHA, WI 53186-4806
(262) 547-2463
(262) 547-8002
Mailing address
800 WISCONSIN AVE, RACINE, WI 53403-1526
(262) 637-8888
(262) 637-0695
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130734-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130734-121
APSW
WI
Enumeration date
03/19/2018
Last updated
03/19/2018
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