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1740304252
ROBERTA L MARCUS
ELKHORN, WI
NPI
1740304252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15346-131)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- ROBERTA L MARCUS SAC
797 E GENEVA ST
ELKHORN, WI 53121-2303
Phone number: 262-723-1455
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Mailing Address
-- ROBERTA L MARCUS SAC
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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