Most Relevant Information
Provider Data
| NPI Number: | 1003485350 |
| Provider Name: | BROOKE TAYLOR LLMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801106477 |
Most Important Dates
| Enumeration Date: | 06/22/2021 |
| Last Updated: | 06/22/2021 |
Provider Practice Location
920 DIANA ST
LUDINGTON
MI
494311987
Practice Location Phone/Fax
| Phone: | 2318456294 |
| Fax: | 2318457095 |
Provider Mailing Location
920 DIANA ST
LUDINGTON
MI
494311987
Provider Mailing Phone/Fax
| Phone: | 2318456294 |
| Fax: | 2318457095 |