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Individual

MARCIA ANNE CATLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, LPC, MA, MED

Contact information

Practice address
N158 TAMARACK RD, PALMYRA, WI 53156-9789
(262) 745-0368
(262) 745-0368
Mailing address
PO BOX 732, LAKE GENEVA, WI 53147-0732
(262) 745-0368

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
125-3939
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
437-08-200
WI
Enumeration date
01/29/2007
Last updated
04/04/2016
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