Individual
MARCELLE N DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 STATE STREET, ST. CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1232-132
WI
1041C0700X
Clinical Social Worker
Primary
3040-123
WI
Other
Enumeration date
11/03/2009
Last updated
07/21/2017
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