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1265801740
MARCEL TASSARA
MILWAUKEE, WI
NPI
1265801740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 3332)
Enumeration Date
2015-09-15
Last Update Date
2020-09-22
Business Address
Mr. MARCEL TASSARA Ph.D
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203
Phone number: 414-672-1353
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Mailing Address
Mr. MARCEL TASSARA Ph.D
5450 S HATELY AVE
CUDAHY, WI 53110-2041
Phone number: 414-801-9596
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