Individual
CHARLES E LAMARCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW LCSW
Contact information
Practice address
420 E GREEN BAY ST, STE 201, SHAWANO, WI 54166
(715) 526-5466
(715) 526-5545
Mailing address
420 E GREEN BAY ST, STE 201, SHAWANO, WI 54166
(715) 526-5466
(715) 526-5545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39511700
—
WI
Enumeration date
10/03/2006
Last updated
07/08/2007
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