Individual
MISS TAYLER SIMONE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4465 N OAKLAND AVE UNIT 310, SHOREWOOD, WI 53211-1662
(414) 775-3278
Mailing address
3034 S WENTWORTH AVE, MILWAUKEE, WI 53207-3017
(608) 213-9869
(414) 310-1760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9047-123
WI
Other
Enumeration date
05/23/2017
Last updated
04/01/2021
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