Individual
LATRICE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
2108-63 STREET, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Mailing address
2108-63 STREET, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10206
WI
Other
Enumeration date
05/01/2019
Last updated
02/23/2023
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