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
Phone: (414) 775-3278
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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