MARCUS THORNTON

MILWAUKEE, WI
NPI1205124823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15568-132)
Enumeration Date2011-07-17
Last Update Date2011-07-17
Business Address
-- MARCUS THORNTON CSAC
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-763-1757
Mailing Address
-- MARCUS THORNTON CSAC
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-763-1757