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1073079844
AFRICA MARQUITIA LUCAS
FOND DU LAC, WI
NPI
1073079844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 17939-130)
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
AFRICA MARQUITIA LUCAS SAC-IT
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
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Mailing Address
AFRICA MARQUITIA LUCAS SAC-IT
10421 W. HAMPTON AVE APT #3
MILWAUKEE, WI 53225
Phone number: 414-687-0432
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