Individual
TAYLORE LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2298
(608) 364-5686
Mailing address
1969 W HART RD, BELOIT, WI 53511-2298
(608) 364-5686
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132908-121
WI
1041C0700X
Clinical Social Worker
Primary
11550-123
WI
Other
Enumeration date
09/27/2022
Last updated
03/27/2024
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