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Individual

REBECCA LYNNE MARRAZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PCTL, SACIT

Contact information

Practice address
3240 JACKSON ST, OSHKOSH, WI 54901-1208
(920) 231-0143
Mailing address
752 REED ST, NEENAH, WI 54956-3431
(920) 450-8218

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20392-130
WI
101YM0800X
Mental Health Counselor
Primary
7452-226
WI

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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