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1063187383
MARK T MACHAK
OAK CREEK, WI
NPI
1063187383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2021-08-09
Last Update Date
2021-08-09
Business Address
MARK T MACHAK LPC-IT
7280 S 13TH ST STE 103
OAK CREEK, WI 53154-1831
Phone number: 262-334-4340
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Mailing Address
MARK T MACHAK LPC-IT
400 W RIVER DR
WEST BEND, WI 53090-1518
Phone number: 262-334-4340
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