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1093148330
MARCIA MARIE LEASER
MADISON, WI
NPI
1093148330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15813-131)
Enumeration Date
2013-08-09
Last Update Date
2013-08-09
Business Address
-- MARCIA MARIE LEASER SAC
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-242-0220
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Mailing Address
-- MARCIA MARIE LEASER SAC
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-242-0220
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