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1063187383
MARK T MACHAK
WEST ALLIS, WI
NPI
1063187383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 10668125)
Enumeration Date
2021-08-09
Last Update Date
2025-03-18
Business Address
MARK T MACHAK LPC
10150 W NATIONAL AVE STE 202
WEST ALLIS, WI 53227-2145
Phone number: 414-617-5143
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Mailing Address
MARK T MACHAK LPC
3929 E KLIEFORTH AVE
CUDAHY, WI 53110-3123
Phone number: 414-617-5143
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