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Individual

KONSTANTINA NICOLE MARLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
N81W32011 SHENANDOAH CT, HARTLAND, WI 53029-9741
(262) 313-7090
Mailing address
N81W32011 SHENANDOAH CT, HARTLAND, WI 53029-9741
(262) 313-7090

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/20/2025
Last updated
03/20/2025
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