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1205124823
MARCUS THORNTON
MILWAUKEE, WI
NPI
1205124823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 15568-132)
Enumeration Date
2011-07-17
Last Update Date
2011-07-17
Business Address
MARCUS THORNTON CSAC
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-763-1757
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Mailing Address
MARCUS THORNTON CSAC
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-763-1757
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