Taylor M Wilson

NPI #1295353423 in Mattoon, Illinois

Provider Information

NPI Number: 1295353423
Entity Type: Individual
Name: Taylor M Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 14, 2020
Last Updated: Jul 14, 2020

Practice Location

Address: 750 BROADWAY AVE E
City: Mattoon
State: Illinois
ZIP Code: 61938-4610
Phone: (217) 238-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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