Individual
MARCIA MARIE LEASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 242-0220
(608) 242-1166
Mailing address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 242-0220
(608) 242-1166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15813-131
WI
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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