CHESTER MARCOL

GREEN BAY, WI
NPI1336507151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15986)
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
-- CHESTER MARCOL
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
Mailing Address
-- CHESTER MARCOL
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
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