Clark, Tayler Simone

Clark, Tayler Simone is an sole proprietor health care provider with primary practice located at 4465 N Oakland Ave Unit 310 , Shorewood WI 53211-1662. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Tayler Simone can be contacted via phone (414) 775-3278.

Contact Information

Primary practice address
4465 N Oakland Ave Unit 310 Shorewood WI 53211-1662
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9047-123 Wisconsin

Profile Details

NPI number 1982132817
LBN Legal business name Clark, Tayler Simone
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2017
Last updated Apr 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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