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1962684845
MARK MARMES
OSHKOSH, WI
NPI
1962684845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 2321-132)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
-- MARK MARMES csac
683 N MAIN ST
OSHKOSH, WI 54901-4472
Phone number: 920-651-1844
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Mailing Address
-- MARK MARMES csac
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-651-1844
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