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1316338502
MARISA L EVANS
GREEN BAY, WI
NPI
1316338502
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Former Name
MARISA L LEISTEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 6408-125)
Enumeration Date
2015-02-10
Last Update Date
2022-11-23
Business Address
MARISA L EVANS LPC
3263 EATON RD
GREEN BAY, WI 54311-6830
Phone number: 920-433-6700
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Mailing Address
MARISA L EVANS LPC
PO BOX 22040
GREEN BAY, WI 54305-2040
Phone number: 920-445-7210
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