AFRICA MARQUITIA LUCAS

FOND DU LAC, WI
NPI1073079844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17939-130)
Enumeration Date2019-02-15
Last Update Date2019-02-15
Business Address
AFRICA MARQUITIA LUCAS SAC-IT
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
Mailing Address
AFRICA MARQUITIA LUCAS SAC-IT
10421 W. HAMPTON AVE APT #3
MILWAUKEE, WI 53225
Phone number: 414-687-0432